Multimodal Approach to the Intrathecal Catheter for Obstetric Accidental Dural Puncture

NCT ID: NCT05910086

Last Updated: 2023-06-18

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

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-03-01

Study Completion Date

2023-02-01

Brief Summary

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Accidental dural puncture is an uncommon complication of epidural analgesia and can cause postdural puncture headache.

Detailed Description

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The aim of this study the effectiveness of a protocol implemented in our department, according to the recommendations of good practice, on the reduction of the use of blood patchs in patients who have had an accidental dural puncture during the implementation of their spinal anesthesia, in order to prevent the use of the blood patch. In addition, intensity of headaches is evaluated.

Conditions

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Spinal Anesthetics Causing Adverse Effects in Therapeutic Use

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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patients having an accidental dural puncture during the installation of an epidural anesthesia

patients having an accidental dural puncture during the installation of an epidural anesthesia will be included.

Analysis datas of medical record.

collection of data from the medical record

Intervention Type OTHER

collection of data from the medical record:

1. During epidural space puncture = cerebrospinal fluid (CSF) reflux, presence of glucose / strip, saline injection, intrathecal catheter insertion, intrathecal levobupivacaine and sufentanil injection, catheter insertion time, number of punctures, function of the person performing the procedure.
2. Analgesia and hemodynamics during labor, blood pressure, pulse rate, amount of local anesthetic used, whether emergency cesarean section was performed
3. Demographic data (age, weight, height, body mass index (BMI))
4. Post-partum monitoring of decubitus or orthostatic headaches, intensity, any other associated clinical signs
5. Analgesics used and their efficacy
6. The use of one or more blood patches, with the volume injected and their efficacy
7. Identification of the breach during epidural analgesia or after delivery
8. Call the patient at 1 week to reassess the episode and its consequences.

Interventions

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collection of data from the medical record

collection of data from the medical record:

1. During epidural space puncture = cerebrospinal fluid (CSF) reflux, presence of glucose / strip, saline injection, intrathecal catheter insertion, intrathecal levobupivacaine and sufentanil injection, catheter insertion time, number of punctures, function of the person performing the procedure.
2. Analgesia and hemodynamics during labor, blood pressure, pulse rate, amount of local anesthetic used, whether emergency cesarean section was performed
3. Demographic data (age, weight, height, body mass index (BMI))
4. Post-partum monitoring of decubitus or orthostatic headaches, intensity, any other associated clinical signs
5. Analgesics used and their efficacy
6. The use of one or more blood patches, with the volume injected and their efficacy
7. Identification of the breach during epidural analgesia or after delivery
8. Call the patient at 1 week to reassess the episode and its consequences.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patients having an accidental dural puncture during the installation of an epidural anesthesia

Exclusion Criteria

* Patients without accidental dural puncture
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pascal MARTIN, MD

Role: PRINCIPAL_INVESTIGATOR

CHU SAINT-ETIENNE

Locations

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CHU Saint-Etienne

Saint-Etienne, , France

Site Status

Countries

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France

Other Identifiers

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IRBN632022/CHUSTE

Identifier Type: -

Identifier Source: org_study_id

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