A Prospective Observational Study of Epidural Pressures During Caudal Epidural in the Pediatric Population

Completed

Conditions studied: Anesthesia, Caudal

In brief

This study is a prospective study of epidural pressure changes when local anesthetic is injected from the caudal route. All patients will receive the same weight based volume dose of local anesthetic after induction of general anesthesia, and a CVP transducer will be attached to the standard caudal needle for measurement of pressure: under the skin, after entering the epidural space, and every 15 seconds for 3 minutes after completion of injection with the needle in situ. The placement of the caudal epidural will follow current standard of care and administration, the only variation will be the addition of a pressure transducer to the stopcock where the local anesthetic syringe is attached that will allow for pressure monitoring.

Key facts

Study ID

NCT02233309

Run by

Jessica Goeller

People needed

36

Starts

2014-04-01

Expected to finish

2014-09-01

Last updated by the study team

2015-05-28

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• ASA physical status I or II
• Weight ≥ 3 kilograms
• Undergoing a lower abdominal/pelvic or urologic procedure where caudal epidural anesthesia is a beneficial adjunct

You may not qualify if…

• Co-morbid diseases (cardiac, pulmonary, neurological disease)
• Patients with sacral deformities contraindicating a caudal epidural
• Use of therapeutic dose anticoagulants or presence of a bleeding disorder
• Other co-existing conditions would preclude the use of neuraxial blockade

Where it is running

• Nationwide Children's Hospital — Columbus, Ohio, United States

Full record on ClinicalTrials.gov

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