Expired Study
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Charleston, South Carolina 29425


Purpose:

The goal of this study is to evaluate the effect of continuous postpartum epidural saline infusion on the reactivation of labor epidurals for postpartum tubal ligation surgery following vaginal delivery.


Study summary:

The aim of this research is to determine the effect of postpartum epidural saline infusion on the reactivation of labor epidural catheters which are used as the anesthetic technique for PPTL following vaginal delivery. It is proposed that continuous epidural saline infusion will decrease the incidence of catheter obstruction by preventing clot, fibrosis, or tissue plugging and therefore improve reactivation rates. To our knowledge, this is a novel method for attempting to improve epidural reactivation rate and if successful, it would challenge the current practice of only capping epidurals following delivery and later attempting reactivation prior to PPTL. This may, possibly, become a new technique used to improve the rate of epidural reactivation for PPTL. If study results show improved labor epidural reactivation rates, benefits would include decreased patient morbidity and greater patient comfort and satisfaction by avoiding the risks of additional neuraxial procedures as well as general anesthesia. These risks include difficult or failed intubation, aspiration, hypotension, headache, postoperative nausea and vomiting, and sore throat. Improving epidural reactivation rate could also result in greater OR efficiency and decreased costs for the patient and hospital. The investigators also hope to elucidate factors associated with catheter migration or dislodgement and subsequent failure of epidural reactivation. Additionally, we hope to determine what effect obesity and length of time prior epidural reactivation have on epidural reactivation rates.


Criteria:

Inclusion Criteria: - Pregnant women - 18 to 45 years of age - Admitted to MUSC in labor or for induction of labor resulting in a vaginal delivery epidural analgesia - Postpartum tubal ligation following delivery - American Society of Anesthesiologists (ASA) Physical Class 1, 2, and 3 Exclusion Criteria: - Critically Ill Patients (patients admitted to the ICU) - Cognitively Impaired Persons (patients with a diagnosis of cognitive deficit) - Cesarean delivery - Punctured dura - Patients enrolled in other epidural research studies


NCT ID:

NCT02564016


Primary Contact:

Principal Investigator
Laura Roberts, MD
Medical University of South Carolina


Backup Contact:

N/A


Location Contact:

Charleston, South Carolina 29425
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: November 18, 2019

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