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Influence of Lumbar Ultrasound on Resident Learning Curve for Lateral Labor Epidural Placement

N/A
Waitlist Available
Led By Michaela K Farber, MD MS
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from enrollment to time of epidural placement, approximately 5 hours, plus 30 minutes.
Awards & highlights
No Placebo-Only Group

Summary

The aim of this study is to evaluate the impact of lumbar spine ultrasound on the success rate and efficiency of labor epidural placement in the lateral position. The investigators hypothesize that ultrasound imaging of the lumbar spine of women in early labor will yield similar ultrasound results when done immediately prior to epidural placement. The investigators also hypothesize that the use of ultrasound with landmarks marked and depth to the epidural space estimated will facilitate epidural placement in terms of both efficiency (time required for placement) and efficacy of pain relief.

Eligible Conditions
  • Lumbar Ultrasound
  • Labor Epidural

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from enrollment to time of epidural placement, approximately 5 hours, plus 30 minutes.
This trial's timeline: 3 weeks for screening, Varies for treatment, and from enrollment to time of epidural placement, approximately 5 hours, plus 30 minutes. for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Depth to the epidural space (cm) from baseline ultrasound compared to pre-placement ultrasound.
Incidence of paresthesias
L3-L4 lumbar spine level measured from baseline ultrasound compared to pre-placement ultrasound.
+7 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: UltrasoundExperimental Treatment1 Intervention
Baseline and pre-puncture ultrasound with markings placed.
Group II: ControlActive Control1 Intervention
Baseline ultrasound only, with no markings placed. No ultrasound prior to epidural placement.

Find a Location

Who is running the clinical trial?

Brigham and Women's HospitalLead Sponsor
1,670 Previous Clinical Trials
11,878,238 Total Patients Enrolled
1 Trials studying Lumbar Ultrasound
110 Patients Enrolled for Lumbar Ultrasound
Michaela K Farber, MD MSPrincipal InvestigatorBrigham and Women's Hospital
2 Previous Clinical Trials
69 Total Patients Enrolled
~2 spots leftby Dec 2025
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