- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02739776
Thermographic Imaging in Epidural Anesthesia
June 14, 2023 updated by: Pamela Gonzalez Sr Director Clinical Research Office, Cook County Health
Infrared Thermographic Imaging for Early Assessment of Epidural Block Success in Obstetric Anesthesia
The purpose of this study is to describe infrared thermographic imaging as a tool for the assessment of epidural block in obstetrics patients
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Detailed Description
Patients will recive standard anesthesia care for epidural placement and additionally, thermographic imaging will be obtained at baseline and up to 30 min after the epidural blockade is performed.
Study Type
Observational
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Sampling Method
Non-Probability Sample
Study Population
Parturients in active labor, older than18 year of age, requesting epidural anesthesia for normal vaginal delivery
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / 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
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
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
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
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 2, 2016
Primary Completion (Actual)
November 17, 2017
Study Completion (Actual)
November 17, 2017
Study Registration Dates
First Submitted
March 29, 2016
First Submitted That Met QC Criteria
April 11, 2016
First Posted (Estimated)
April 15, 2016
Study Record Updates
Last Update Posted (Actual)
June 15, 2023
Last Update Submitted That Met QC Criteria
June 14, 2023
Last Verified
June 1, 2023
More Information
Terms related to this study
Other Study ID Numbers
- IRB# 16-012
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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.
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