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NCT06206044

Evaluation of the Typical Spinal Block During Cesarean Delivery

Enrolling by Invitation
Not specifiedAges 15–55Observational
Oregon Health and Science University
~250 participants
Updated 2024-11-20 on ClinicalTrials.gov
What's tested:Intrathecal 1.6 ml 0.75% bupivacaine in 8.25% dextrose combined with 15 mcg fentanyl and 150 mcg preservative-free morphine

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of participants with spinal failure
Measured over 90 minutes

Conditions

Cesarean Section
Anesthesia, Obstetric

Explore related trials

Cesarean SectionSpinal Block

Where it's being run

1 sites across 1 states
Oregon1

Study leadership

  • Brandon M Togioka, MD · PRINCIPAL_INVESTIGATOR · Oregon Health and Science University

Who to contact

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

Patients undergoing cesarean delivery under spinal or combined spinal epidural anesthesia
BMI between 20 and 40 kg/m2
Height between 5 feet 2 inches and 5 feet 10 inches.
English and non-English speaking patients, if interpretive services are available

Exclusion

Patient refusal
Contraindications to neuraxial anesthesia (coagulopathy, CNS pathology, infection at site of needle puncture)
Allergy to any study medications
Use of epidural anesthesia
Emergency (red) cesarean delivery
Conditions that impact dermatomal sensory testing including spinal cord injury with sensory deficits and abdominoplasty
Prison inmates
Decisionally impaired individuals
Pregnancies involving multiple fetuses

What this trial measures

  • Number of participants with spinal failure90 minutes

    A composite outcome that will be categorized as "yes" if there is either preoperative or intraoperative spinal failure. Preoperative failure will be defined as failure to achieve a T4 level to pinprick by the 15-minute timepoint. Intraoperative failure will be defined as pain (VAS \> 0) that requires anesthesia provider medication administration. Pain will be queried at time of skin incision, fetal delivery, uterine exteriorization, uterine interiorization or end of uterine closure, and end of skin closure. If VAS \> 0, the anesthesia provider will ask the patient if they would like analgesic medication. Discomfort at any other time during the cesarean delivery that is treated with neuraxial or intravenous analgesia will also count. Pain will be rated according to the scale: 0 = no pain, 10 = worst pain imaginable