Status:

RECRUITING

Evaluating the Effect of Intravenous Dexamethasone on the Duration of Spinal Anesthesia After Cesarean Delivery

Lead Sponsor:

IWK Health Centre

Conditions:

Spinal Anesthesia

Dexamethasone

Eligibility:

FEMALE

18+ years

Phase:

PHASE4

Brief Summary

The goal of this clinical trial is to determine the effects of intravenous (IV) dexamethasone on spinal anesthesia in healthy women having an elective Cesarean delivery (CD) at the IWK Health Centre. ...

Detailed Description

Background: Enhanced Recovery After Surgery (ERAS) is a concept that aims to achieve faster patient recovery and fewer complications after major surgery. Spinal anesthesia is a technique widely used ...

Eligibility Criteria

Inclusion Criteria:

  • Non-emergent Caesarean Delivery with planned spinal anesthesia
  • American Society of Anesthesia physical status class < III
  • Age ≥18 years
  • Term gestational age (≥37weeks)
  • Singleton pregnancy
  • Moderate English language fluency

Exclusion Criteria:

  • Obesity (BMI ≥ 45kg/m2)
  • Height < 5'0"
  • Patients with significant obstetric or neonatal co-morbidities (i.e., severe maternal cardiac disease, preeclampsia, fetal anomalies)
  • Opioid tolerance or sensitivity
  • Intolerance to non-steroidal anti-inflammatory drugs (NSAIDs)
  • Contraindication to neuraxial analgesia (i.e., coagulopathy, infection, neuropathy)
  • Abnormal spinal anatomy (i.e., severe scoliosis, spina bifida, spinal instrumentation)
  • Use of chronic steroids
  • A physical or psychiatric condition which impairs cooperation

Key Trial Info

Start Date :

March 6 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

192 Patients enrolled

Trial Details

Trial ID

NCT05731960

Start Date

March 6 2023

End Date

December 1 2025

Last Update

July 8 2024

Active Locations (1)

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1

IWK Health Centre

Halifax, Nova Scotia, Canada, B3K 6R8