Gravity Flow Technique to Validate Proper Location of Epidural Needle Tip on Obese Parturients
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 49 |
| Updated: | 3/24/2019 |
| Start Date: | March 20, 2018 |
| End Date: | February 2020 |
| Contact: | Lola Franco |
| Email: | lola.franco@nyumc.org |
| Phone: | 212 263 0531 |
Pregnant women, with a Body Mass Index (BMI) greater than 30 kg/m2, who receive epidural
analgesia/anesthesia for childbirth will have epidural catheter placement per our standard
procedure, which includes using the gravity flow technique to confirm that the tip (aperture)
of the epidural needle is indeed located within the epidural space. The study procedure will
be to use a cold stimulus (ice) to assess the subjects for hypesthesia the dermatomes of the
lower abdomen between 10 and 30 minutes after the epidural catheter is inserted. Hypesthesia
to cold will be taken a sign of successful lumbar epidural block.
analgesia/anesthesia for childbirth will have epidural catheter placement per our standard
procedure, which includes using the gravity flow technique to confirm that the tip (aperture)
of the epidural needle is indeed located within the epidural space. The study procedure will
be to use a cold stimulus (ice) to assess the subjects for hypesthesia the dermatomes of the
lower abdomen between 10 and 30 minutes after the epidural catheter is inserted. Hypesthesia
to cold will be taken a sign of successful lumbar epidural block.
The purpose of this study is to quantify the reliability of the gravity flow technique to
accurately validate the position of the epidural needle tip when performing lumbar epidural
analgesia/anesthesia for childbirth (vaginal and cesarean delivery) in women with a BMI
greater than 30 kg/m2.
accurately validate the position of the epidural needle tip when performing lumbar epidural
analgesia/anesthesia for childbirth (vaginal and cesarean delivery) in women with a BMI
greater than 30 kg/m2.
Inclusion Criteria:
- Patients requesting epidural analgesia/anesthesia for childbirth
- American Society of Anesthesiologists (ASA) physical status I to III
- Ability to speak and read English to fully comprehend the consent process
- BMI greater than 30 kg/m2
Exclusion Criteria:
- Combined spinal-epidural anesthesia
- Coagulopathy
- History of lumbar spine surgery
- Allergy or contraindication to any of the study medications
- Contraindication to epidural analgesia
- ASA physical status >III
- BMI less than 30 kg/m2
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: Gilbert Grant, MD
Phone: 212-263-0531
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