Labor Pain Clinical Trial
Official title:
Dural Puncture Epidural For Early Labor Analgesia: A Randomized Comparison Between 27- and 25-Gauge Pencil Point Spinal Needles.
The rationale behind the dural puncture epidural (DPE) technique lies in the fact that a
dural perforation with a spinal needle purportedly creates a conduit for accelerated
translocation of local anesthetics from the epidural to the subarachnoid space. When compared
with conventional epidural block, it provides improved sacral block and onset of analgesia.
Despite the benefits associated, the supportive literature remains scarce. No trial has
determined if similar results could be obtained with a smaller needle.
In this trial, DPE using 25- and 27-gauge (G) spinal needles are compared. The main outcome
will be the time required to obtain a pain score ≤ 1 using a 0-10 numeric rating scale (NRS).
The hypothesis is that that both needle sizes will result in similar onset times and
therefore designing the current study as an equivalence trial.
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