Analgesic Efficacy of a Multiport Versus Uniport Flexible Catheter for Labor Epidural Analgesia
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - 45 |
| Updated: | 4/21/2016 |
| Start Date: | November 2011 |
| End Date: | June 2013 |
Prospective, Controlled, Randomized, Blinded, Single-center Study of the Clinical Efficacy and Outcomes of a Multiport Versus Uniport Flexible Catheter for Epidural Analgesia During Labor and Delivery
The purpose of this study is to determine whether multiple ports improve the analgesic
efficacy of flexible catheters used for the provision of epidural analgesia during the
entire continuum of labor and delivery
efficacy of flexible catheters used for the provision of epidural analgesia during the
entire continuum of labor and delivery
Multiport catheters, when compared to uniport catheters, have been associated with better
analgesic quality during labor epidural analgesia because the presence of more than one port
may enhance the distribution of epidural medication
Flexible catheters, when compared to rigid catheters, have been associated with better
analgesic quality during labor epidural analgesia because greater flexibility may minimize
catheter deviation in the epidural space, facilitate more optimal catheter placement in the
epidural space, and result in better distribution of epidural medication
It is unknown whether multiple ports, which promote better distribution of epidural
medication, provide added analgesic benefit to flexible catheters, which also facilitate
better distribution of epidural medication, when used for the provision of epidural
analgesia during labor and delivery
analgesic quality during labor epidural analgesia because the presence of more than one port
may enhance the distribution of epidural medication
Flexible catheters, when compared to rigid catheters, have been associated with better
analgesic quality during labor epidural analgesia because greater flexibility may minimize
catheter deviation in the epidural space, facilitate more optimal catheter placement in the
epidural space, and result in better distribution of epidural medication
It is unknown whether multiple ports, which promote better distribution of epidural
medication, provide added analgesic benefit to flexible catheters, which also facilitate
better distribution of epidural medication, when used for the provision of epidural
analgesia during labor and delivery
Inclusion Criteria:
- American Society of Anesthesiologists Classification I-III parturients
- Mixed parity
- Estimated gestational age of at least 37 weeks
- Singleton gestation
- Cephalic presentation
- Spontaneous or induced labor
Exclusion Criteria:
- Body mass index (BMI) > 45 kg/m2
- Prior cesarean section
- Multiple gestation
- Fetal abnormality
- Use of chronic analgesic medication
- Local anesthetic allergy
- Coagulopathy or anticoagulation
- Infection at epidural insertion site
- Spinal deformity other than mild scoliosis
- Uncontrolled/uncompensated/uncorrected cerebral, cardiovascular, pulmonary,
gastrointestinal, hepatic, renal, endocrinologic, metabolic, or hematologic condition
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