Lidocaine Patch vs. Intradermal Lidocaine for Epidural Pain
This study is looking at ways to reduce pain during epidural placement, especially for women who are afraid of needles (needle phobia). Researchers are comparing a 4% lidocaine patch, which is applied to the skin, with standard lidocaine injections given into the skin. The goal is to see which method is better at reducing pain when the epidural needle is inserted. You might be able to join if you are 18 or older, are pregnant, and need an epidural for delivery. The study will measure your pain response during the epidural procedure. The current status of this study is unclear, and it plans to enroll 135 participants.
- Study design
- This is a randomized, single-blinded study comparing three groups: lidocaine patch alone, intradermal lidocaine alone, or both. It plans to enroll 135 participants.
- What's involved
- You would have a lidocaine patch applied to your lower back for at least 30 minutes before your epidural, or receive a standard lidocaine injection. Your pain will be measured during the epidural procedure.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your pain response will be measured immediately during the epidural placement procedure.
AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.
Lidocaine Patch vs Intradermal Lidocaine for Epidural Needle Insertion Pain
At a glance
Conditions
Where it's being run
1 sites across 1 statesWho to contact
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What this trial measures
- Composite Behavioral Pain Response During Tuohy Needle Insertion (CPOT-Based)During Tuohy needle insertion (immediately at time of epidural placement procedure)
The primary outcome is a composite behavioral pain response during epidural Tuohy needle insertion, defined as the presence and severity of vocalization and withdrawal reflex. This will be assessed using the Critical Care Pain Observation Tool (CPOT), which evaluates observable indicators of pain including facial expression, vocalization, body movement, and muscle tension. Higher CPOT scores indicate greater observed pain response during the procedure.