Thermographic Imaging in Epidural Anesthesia
Infrared Thermographic Imaging for Early Assessment of Epidural Block Success in Obstetric Anesthesia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Contacts and Locations
Study Contact
Study Contact
- Name: Ahmad Abou Leila, MD
- Email: doctorabuleaila@gmail.com
Study Contact Backup
- Name: Luis Sequera Ramos, MD
- Email: Lsequera@cookcountyhhs.org
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Parturients in active labor requesting epidural anesthesia for normal vaginal delivery
Exclusion Criteria:
- Patients with lower extremity skin disorders like active infections like cellulitis, ,dermatitis, psoriasis or connective tissue disorders like scleroderma or Raynaud's phenomenon
- Patients with diagnosed peripheral vascular disease ,venous stasis , deep venous thrombosis.
- Patients with Severe preeclampsia with significant lower extremity edema
- Patient on vasoactive agents like vasodilators, calcium channels blockers.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
A
Pt receiving standard Epidural block care for vaginal delivery
|
Using infrared-recording camera will obtain thermographic images of the lower extremities before and after the epidural blockade
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in temperature in the lower extremities
Time Frame: at baseline, 5 min before the epidural blockade, during and up to 30 minutes after performing the epidural blockade
|
thermographic images of the lower extremities will be obtained and analyzed for thermography patterns.
|
at baseline, 5 min before the epidural blockade, during and up to 30 minutes after performing the epidural blockade
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Successful epidural blockade
Time Frame: up to 30 min after performing the epidural block
|
adequate sensory level, pain control, motor blockade as evaluated by care provider
|
up to 30 min after performing the epidural block
|
|
Epidural blockade failure
Time Frame: Up to 30 min after performing the epidural block
|
Failure of the epidural block to adequately control pain, unilateral blockade, optimal sensory level, inadequate motor blockade
|
Up to 30 min after performing the epidural block
|
|
Requirement for Epidural catheter manipulation or replacement
Time Frame: Up to 30 min after performing the epidural block
|
Up to 30 min after performing the epidural block
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Peri-procedural Complications
Time Frame: participants will be followed for the duration of anesthesia and after the procedure, an expected average of 12 hours
|
participants will be followed for the duration of anesthesia and after the procedure, an expected average of 12 hours
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Galvin EM, Niehof S, Medina HJ, Zijlstra FJ, van Bommel J, Klein J, Verbrugge SJ. Thermographic temperature measurement compared with pinprick and cold sensation in predicting the effectiveness of regional blocks. Anesth Analg. 2006 Feb;102(2):598-604. doi: 10.1213/01.ane.0000189556.49429.16.
- Kim YC, Bahk JH, Lee SC, Lee YW. Infrared thermographic imaging in the assessment of successful block on lumbar sympathetic ganglion. Yonsei Med J. 2003 Feb;44(1):119-24. doi: 10.3349/ymj.2003.44.1.119.
- Asghar S, Lundstrom LH, Bjerregaard LS, Lange KH. Ultrasound-guided lateral infraclavicular block evaluated by infrared thermography and distal skin temperature. Acta Anaesthesiol Scand. 2014 Aug;58(7):867-74. doi: 10.1111/aas.12351. Epub 2014 Jun 12.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- IRB# 16-012
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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