Gravity Flow Technique to Validate Proper Location of Epidural Needle Tip



Status:Recruiting
Healthy:No
Age Range:18 - 49
Updated:10/26/2018
Start Date:September 20, 2017
End Date:July 2020
Contact:Lola Franco
Email:lola.franco@nyumc.org
Phone:212 263 0531

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Epidural analgesia for childbirth may fail to provide adequate pain relief. At NYULMC, to
maximize the likelihood that epidural analgesia will work well, the gravity flow technique is
used when performing epidural procedures.

The gravity flow technique is not well known, and is therefore used in only a few hospitals.
The purpose of this study is to quantify the reliability of the gravity flow technique to
accurately validate the position of the epidural needle tip when performing lumbar epidural
analgesia in laboring women.

The purpose of this study is to quantify the reliability of the gravity flow technique to
accurately validate the position of the epidural needle tip when performing lumbar epidural
analgesia in laboring women. This gravity flow technique was first described 26 years ago in
1991, and has been at NYU Langone for 15 years, since 2002. The technique has not been
formally studied and this study is designed to enable assessment of the success rate of the
gravity flow technique.

Inclusion Criteria:

- Patients requesting epidural analgesia for labor

- ASA physical status I to II

- Ability to speak and read English to fully comprehend the consent process

Exclusion Criteria:

- Combined spinal-epidural anesthesia

- Coagulopathy

- History of lumbar spine surgery

- Allergy or contraindication to any of the study medications

- Contraindication to epidural analgesia

- ASA physical status >III
We found this trial at
1
site
550 1st Ave
New York, New York 10016
(212) 263-7300
Principal Investigator: Gilbert Grant, MD
Phone: 212-263-0531
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