Compuflo Instrument for Thoracic ES Identification
Evaluation of the Compuflo Epidural Instrument for Thoracic Epidural Space Identification
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Florida
-
Miami, Florida, United States, 33136
- University of Miami Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 to 80 years inclusive
- BMI 18.5 to 40 inclusive
- Scheduled for thoracic epidural anesthesia
Exclusion Criteria:
- Patients younger than 18 years or older than 80 years of age
- Patients with BMI less than 18.5 or greater than 40
- Contraindication to thoracic epidural anesthesia
- Allergy or hypersensitivity to local anesthetics
- Patients with preexisting nerve damage
- Patients unable to provide written informed consent
- Individuals of vulnerable populations: children, pregnant women, prisoners
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Phase A - Thoracic ES with LOR
Patients will receive thoracic epidural anesthesia.
The thoracic epidural needle will be introduced until loss of resistance (LOR) is perceived to identify the thoracic epidural space (ES).
The Compuflo Epidural Instrument will be used to record pressure readings.
The thoracic epidural procedure will then continue per standard of care.
|
Compuflo Epidural Instrument will be used to measure pressure levels in the thoracic epidural space while performing thoracic epidural anesthesia.
|
|
Experimental: Phase B - Thoracic ES with Compuflo
Patients will receive thoracic epidural anesthesia.
The thoracic epidural needle will be introduced until the Compuflo Epidural Instrument indicates that pressure has decreased.
The loss of resistance technique will then be used to identify the thoracic epidural space.
The thoracic epidural procedure will then continue per standard of care.
|
Compuflo Epidural Instrument will be used to measure pressure levels in the thoracic epidural space while performing thoracic epidural anesthesia.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pressure Levels in Thoracic Epidural Space
Time Frame: Day 1
|
The Compuflo Epidural Instrument measures the pressure levels in millimeters of mercury (mmHg) in the thoracic epidural space
|
Day 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent of Successful Performance of Thoracic Epidural Anesthesia Using Loss of Resistance Technique
Time Frame: Day 1
|
Percent of thoracic epidural anesthesia procedures using LOR that result in a loss of sensation to cold in at least one dermatome, either unilateral or bilateral
|
Day 1
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Ralf E Gebhard, MD, University of Miami
Publications and helpful links
General Publications
- Ready LB. Acute pain: lessons learned from 25,000 patients. Reg Anesth Pain Med. 1999 Nov-Dec;24(6):499-505. doi: 10.1016/s1098-7339(99)90038-x. No abstract available.
- Tsui BC, Gupta S, Finucane B. Confirmation of epidural catheter placement using nerve stimulation. Can J Anaesth. 1998 Jul;45(7):640-4. doi: 10.1007/BF03012093.
- Leurcharusmee P, Arnuntasupakul V, Chora De La Garza D, Vijitpavan A, Ah-Kye S, Saelao A, Tiyaprasertkul W, Finlayson RJ, Tran DQ. Reliability of Waveform Analysis as an Adjunct to Loss of Resistance for Thoracic Epidural Blocks. Reg Anesth Pain Med. 2015 Nov-Dec;40(6):694-7. doi: 10.1097/AAP.0000000000000313.
- Kuo WC, Kao MC, Chang KY, Teng WN, Tsou MY, Chang Y, Ting CK. Fiber-needle swept-source optical coherence tomography system for the identification of the epidural space in piglets. Anesthesiology. 2015 Mar;122(3):585-94. doi: 10.1097/ALN.0000000000000531.
- Vallejo MC, Phelps AL, Singh S, Orebaugh SL, Sah N. Ultrasound decreases the failed labor epidural rate in resident trainees. Int J Obstet Anesth. 2010 Oct;19(4):373-8. doi: 10.1016/j.ijoa.2010.04.002. Epub 2010 Aug 8.
- Lechner TJ, van Wijk MG, Maas AJ. Clinical results with a new acoustic device to identify the epidural space. Anaesthesia. 2002 Aug;57(8):768-72. doi: 10.1046/j.1365-2044.2002.02621.x.
- Crawford JS. The second thousand epidural blocks in an obstetric hospital practice. Br J Anaesth. 1972 Dec;44(12):1277-87. doi: 10.1093/bja/44.12.1277. No abstract available.
- Thangamuthu A, Russell IF, Purva M. Epidural failure rate using a standardised definition. Int J Obstet Anesth. 2013 Nov;22(4):310-5. doi: 10.1016/j.ijoa.2013.04.013. Epub 2013 Aug 6.
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 (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20170665
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Anesthesia
-
NCT06076096CompletedAnesthesia | Regional Anesthesia | Anesthesia Management
-
NCT03383770CompletedAnesthesia, Local | Anesthesia | Anesthesia; Adverse Effect
-
NCT01474382CompletedAnesthesia, Local | Dental Anesthesia | Anesthesia, Reversal
-
NCT03833947CompletedAnesthesia | Anesthesia Intubation Complication | Anesthesia; Adverse Effect
-
NCT05834647Not yet recruitingAnesthesia | Anesthesia; Reaction
-
NCT03786211UnknownAnesthesia | Anesthesia; Functional
-
NCT06866886CompletedAnesthesia | Sedation | Anesthesia, Intravenous | Sedation Complication | Recovery From Anesthesia | Monitoring of Depth of Anesthesia
-
NCT07103616Not yet recruitingAnesthesia | Anesthesia; Reaction
Clinical Trials on Compuflo Epidural Instrument
-
NCT04749186Enrolling by invitation
-
NCT00178750WithdrawnPain | Epidural Analgesia
-
NCT02378727UnknownVerification of Needle Tip Placement in the Lumbar Epidural Space
-
NCT04240912CompletedAnesthesia, Epidural
-
NCT03812926CompletedEpidural Simulator
-
NCT01180686Unknown