Status:
COMPLETED
Dural Puncture Epidural Technique During Cesarean Section
Lead Sponsor:
Reham Ali Abdelhaleem Abdelrahman
Conditions:
Anesthesia, Obstetric
Eligibility:
FEMALE
20-35 years
Phase:
NA
Brief Summary
DPE technique was performed by creating a perforation in the dura mater using a pencil point spinal needle (25-27G) through the shaft of an epidural needle. After the dural perforation was created and...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Healthy pregnant women (ASAI\&II) with singleton vertex presentation cephalic presentation foetus at 38 to 42 weeksꞌ gestation.
- Age: 20-35 years old.
- Weight: 57-85 Kg.
- Height: 155-170cm.
- Exclusion criteria
- Non-elective CS.
- Known foetal anomalies.
- Patient refusal or uncooperative patients.
- Patients with history of drug abuse and maternal diseases (i.e. diabetes mellitus, cardiac disease, heart block/dysrhythmia, hypertension, chronic obstructive respiratory disease, preeclampsia, eclampsia, placenta previa, placental abruption, coagulation abnormalities or hematological diseases).
- Spinal deformities, previous spinal surgeries, allergy to amide type of local anesthetics, localized skin sepsis at spinal lumbar region, neurological diseases, peripheral neuropathy, neuromuscular diseases, psychiatric diseases, hepatic and renal diseases, metabolic and endocrinal diseases and Raynaud's disease.
- Severe hypovolemia, severe hemodynamic instability and patients with anemia (Hb \<10 gm %).
- Morbidly obese (BMI \> 35 kg/m2) patients.
- Those who are very short (\<150cm) or very tall (\>170 cm).
- Patients on therapy with adrenergic receptor antagonist, anticoagulants, calcium channel blocker, and/or ACE inhibitor.
Exclusion
Key Trial Info
Start Date :
January 10 2023
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 8 2023
Estimated Enrollment :
110 Patients enrolled
Trial Details
Trial ID
NCT06184425
Start Date
January 10 2023
End Date
December 8 2023
Last Update
May 20 2024
Active Locations (1)
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1
Reham Ali Abdelhaleem Abdelrahman
Cairo, Egypt, 11562