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NCT05187962

Differential Sensory Block During Labor Epidural Analgesia: a Prospective Observational Study to Investigate the Relationship of Lower and Upper Sensory Block Levels to Cold With Sensory Block to Pinprick and Light Touch

Completed Last updated 25 October 2022
What this trial tests

trial in Labor Pain in 30 participants. Completed in 27 July 2022.

Timeline
21 December 2021
Primary endpoint
27 July 2022
27 July 2022

Quick facts

Lead sponsorSamuel Lunenfeld Research Institute, Mount Sinai Hospital
StatusCompleted
Study typeOBSERVATIONAL
Enrollment30
Start date21 December 2021
Primary completion27 July 2022
Estimated completion27 July 2022
Sites1 location across Canada

Conditions studied

Sponsor

Samuel Lunenfeld Research Institute, Mount Sinai Hospital

Who can join

Adults 18 to 60, female only, with Labor Pain. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Epidural analgesia remains the gold standard for pain control during labor and delivery. Proper assessment of an epidural's level of blockade is important for providing safe and effective analgesia. Previous studies have established that the most commonly tested modality for adequacy of epidural blockade is a patient's sensory blockade to cold temperature. In a study performed at our institution, Soares et. al. (publication pending) documented two thresholds of sensory block to ice: one defined as the lower sensory block level, in which the patient is able to notice the cold sensation but perceives that it is not as cold as a control dermatome; the other defined as the upper sensory block level, in which the patient perceives that the cold sensation is at approximately the same temperature as if it were applied to a non-anesthetized area such as the neck or face. Although this a known finding to nurses and physicians assessing the sensory block to ice, this phenomenon and its magnitude has not been previously reported in epidural anesthesia. The goal of this study is to examine patients with labour epidurals and to determine the dermatomal relationship between the lower and upper sensory block levels to cold when compared with sensory blockade to both pinprick and light touch.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Differential sensory block during labour epidural analgesia: a prospective observational study to investigate the relationship of lower and upper sensory block levels to cold, pinprick, and light touch.
    Casellato JF, Balki M, Wang A, Ye XY, et al · · 2024 · cited 6× · PMID 38291174 · DOI 10.1007/s12630-023-02638-5

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Other recruiting trials for Labor Pain

Currently open trials in the same condition.

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