Status:

RECRUITING

Hyperbaric Prilocaine Compared With Hyperbaric Bupivacaine in Cervical Cerclage?

Lead Sponsor:

Guy's and St Thomas' NHS Foundation Trust

Collaborating Sponsors:

Obstetric Anaesthetists' Association United Kingdom

Conditions:

Cervical Incompetence in Pregnancy as Antepartum Condition

Eligibility:

FEMALE

18+ years

Phase:

PHASE4

Brief Summary

Patients that have a "cervical stitch" (cervical cerclage) require an anaesthetic. The most common choice is a spinal block. This is an injection in the back that makes the lower half of the body beco...

Detailed Description

Cervical incompetence is defined as the inability to sustain a pregnancy to full term. It is characterized by recurrent second-trimester pregnancy losses. Cervical cerclage is a procedure that is comm...

Eligibility Criteria

Inclusion

  • Healthy (ASA score 2 or 3) pregnant women presenting for elective cervical cerclage under SAB.
  • Age \> 18 years

Exclusion

  • Inability to read or understand the patient information sheet (PIS)
  • Age \< 18 years
  • Unable or unwilling to consent to participation
  • non-elective procedure
  • serious co-morbidities (ASA score 4 or above)
  • any contraindication to SAB, e.g. local or generalised infection, active central nervous system disease, coagulation disorders or anti-coagulant medication
  • any history of allergic reaction to any of the medications in the protocol
  • concomitant use of class III anti-arrhythmics (sulfonamides, antimalarials, sodium nitroprussate, nitroglycerin, other local anaesthetics)
  • any contraindication to the use of bupivacaine or prilocaine as listed in the SmPCs.

Key Trial Info

Start Date :

August 27 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 31 2024

Estimated Enrollment :

135 Patients enrolled

Trial Details

Trial ID

NCT04394533

Start Date

August 27 2021

End Date

August 31 2024

Last Update

March 18 2024

Active Locations (1)

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1

Guy's and St Thomas' NHS Foundation Trust

London, United Kingdom, SE1 7RT