Breakthrough Pain Computer Integrated Patient Controlled Epidural Analgesia

Incidence and Characteristics of Breakthrough Pain in Parturients Using Computer Integrated Patient Controlled Epidural Analgesia

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02313571

Acronym

BTP

Enrollment

350

Registered

2014-12-10

Start date

2010-03-01

Completion date

2015-06-01

Last updated

2026-08-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain

Keywords

Epidural Analgesia, Pain

Brief summary

The computer-integrated patient controlled epidural analgesia (CIPCEA) system can automatically adjust the background infusion rate during combined spinal-epidural (CSE) analgesia based on the parturient's need as labour progresses. Analysis of parturients experiencing breakthrough pain may identify associated factors that can also be related to obstetric or foetal outcomes

Detailed description

Computer integrated patient controlled epidural analgesia (CIPCEA) is a novel epidural analgesic delivery system that is currently used in daily practice in KK Women's and Children's Hospital. It has enabled us to monitor the infusion pumps through wireless connection to a central monitoring system and hence, collect pump utilisation data electronically. The CIPCEA system is programmed to analyse the LA usage across the last hour and adjust the background infusion rate according to a preset algorithm. Breakthrough pain is defined as maternal complaint of pain or pressure that required and was successfully treated with supplemental epidural medications. we investigated the potential factors associated with breakthrough pain in patients who receive CSE epidural analgesia with CIPCEA, with the aim of elucidating the important associated factors.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

FEMALE

Age

21 Years to 45 Years

Healthy volunteers

Inclusion criteria

* Nulliparous women, * requested for epidural analgesia

Exclusion criteria

* Multiparous women, * unable to perform combined spinal epidural technique

Design outcomes

Primary

Measure	Time frame	Description
Breakthrough Pain (Requiring unscheduled epidural supplementation by anaesthetists)	1 day	Requiring unscheduled epidural supplementation by anaesthetists

Secondary

Measure	Time frame	Description
Caesarean Section (Rate of caesarean section)	1 day	Rate of caesarean section
Instrumental Delivery (Rate of instrumental delivery)	1 day	Rate of instrumental delivery

Countries

Singapore

Contacts

PRINCIPAL_INVESTIGATORBan L Sng, FANZCA

KK Women's and Children's Hospital

Outcome results