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Dural Puncture Epidural (DPE) Technique: Efficacy and Safety Overview.

Recruitingn/aAges 18 Years - anyFemaleOhio State University
NCT07704554 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Neuraxial techniques such as lumbar epidural and combined spinal-epidural (CSE) are the most effective methods for labor analgesia and are associated with high patient satisfaction. However, standard epidurals can have failure rates and may be difficult to reliably confirm correct placement. The dural puncture epidural (DPE) technique has been introduced to improve confirmation of epidural placement and potentially enhance analgesia. It involves identifying the epidural space, puncturing the dura with a spinal needle without injecting medication, confirming cerebrospinal fluid flow, and then placing the epidural catheter. While DPE may improve analgesia and drug spread, current evidence is limited and does not clearly demonstrate superiority over standard epidural techniques. At The Ohio State Wexner Medical Center, DPE is used routinely for labor epidurals. This observational study ev

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📋 Eligibility rules (as published)
Inclusion Criteria: * o Women with a single vertex presentation fetus at term (37-42 weeks) with intact fetal membranes or membrane rupture \<6 hours previously, who request to have an epidural for labor analgesia and provide written consent for the study. Exclusion Criteria: * o Patients being treated/managed for chronic pain. * Allergies or significant adverse reactions to local anesthetic or opioid medications * Contraindication to labor epidural placement * Patients with history of spine abnormalities or spine surgery. * Prisoners * Clinical signs or symptoms of infection. * Non-English speakers.
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What it tests

  • Dural Puncture Epidural (DPE) Technique
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Where

1 site
The Ohio State University Wexner Medical Center Hospitals
Columbus, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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