Anesthesia
Conditions
Brief summary
The aim of this study is to evaluate the impact of EpiFaith® syringe on the establishment of successful epidural labor analgesia, change of elapsed time for identification of epidural space, and learning curve of CA-1 residents.
Detailed description
We hypothesize that EpiFaith® syringe, in comparison with conventional glass syringe, will result in a similar overall success rate for catheter placement, but with a larger reduction in change of elapsed time for identification of epidural space and catheter placement of each practitioner. Moreover, we hypothesize that the cumulative learning summary curve using EpiFaith® syringe will be higher than conventional glass syringe in resident trainees, which will show the possible value of EpiFaith® syringe for teaching and learning obstetric epidural anesthesia.
Interventions
A syringe will be used to detect the loss of resistance and needle's entry of epidural space.
Sponsors
Study design
Eligibility
Inclusion criteria
* Females 18 years of age and older at screening * Request labor epidural analgesia * Able to give informed consent to participate in the study * American Society of Anesthesiologists (ASA) class Ⅰ to Ⅲ health status * BMI ≤ 40 kg/m2
Exclusion criteria
* BMI \> 40 kg/m2; any contraindication to neuraxial anesthesia (coagulopathy, uncorrected hypovolemia, increased intracranial pressure, or local skin infection) * Cardiac disease history, marked spinal deformity, previous spinal surgery, or impalpable anatomical landmarks * Any allergy to bupivacaine or fentanyl
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success of epidural localization | 30 minutes | Defined as the catheter can be inserted into epidural space successfully; no occurence of inadvertent dural puncture |
Countries
United States