Programmed Intermittent Epidural Bolus For Laboring Obstetrical Women

NCT ID: NCT03712735

Last Updated: 2021-04-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

390 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-23

Study Completion Date

2021-03-02

Brief Summary

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Comparison of three programmed intermittent epidural bolus (PIEB) pump settings for maintenance of labour analgesia.

Detailed Description

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The optimal PIEB and patient controlled epidural administered (PCEA) bolus settings are still unknown. Therefore, in this study, the investigators aim to compare analgesia outcomes both high and low PIEB flow rate settings.

Conditions

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Labor Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Group A

Bupivacaine 0.08% - fentanyl 2mcg on the following pump settings:

PIEB flow rate = high; interval = 60 min

Group Type ACTIVE_COMPARATOR

Bupivacaine 0.08% - fentanyl 2mcg

Intervention Type DRUG

In each arm, bupivacaine and fentanyl are being delivered at different intervals and rates for the maintenance of labor analgesia.

Group B

Bupivacaine 0.08% - fentanyl 2mcg on the following pump settin PIEB flow rate = high; interval = 45 min

Group Type EXPERIMENTAL

Bupivacaine 0.08% - fentanyl 2mcg

Intervention Type DRUG

In each arm, bupivacaine and fentanyl are being delivered at different intervals and rates for the maintenance of labor analgesia.

Group C

Bupivacaine 0.08% - fentanyl 2mcg on the following pump settin PIEB flow rate = low; interval = 45 min

Group Type EXPERIMENTAL

Bupivacaine 0.08% - fentanyl 2mcg

Intervention Type DRUG

In each arm, bupivacaine and fentanyl are being delivered at different intervals and rates for the maintenance of labor analgesia.

Interventions

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Bupivacaine 0.08% - fentanyl 2mcg

In each arm, bupivacaine and fentanyl are being delivered at different intervals and rates for the maintenance of labor analgesia.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Singleton, vertex presentations at term (37-42 weeks gestational age)
* \</= 5cm cervical dilation at the time of epidural anesthesia request
* ASA 2-3 patients aged 19 or over who are able to provide informed consent

Exclusion Criteria

* Contraindications to neuraxial analgesia or risk factors likely to affect placement or function of the epidural
* History of hypersensitivity or idiosyncratic reaction to local anesthetics or opioids
* Current or historical evidence of any significant medical conditions
* Clinical settings in which continuous epidural infusion may be preferable
* Risk factors significantly increasing the need for Cesarean delivery
* Anticipated fetal abnormalities
Minimum Eligible Age

19 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Anthony Chau

Clinical Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anton Chau, MD MMSc

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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BC Women's Hospital

Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

Other Identifiers

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H18-02318

Identifier Type: -

Identifier Source: org_study_id

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