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Comparison of three programmed intermittent epidural bolus (PIEB) pump settings for maintenance of labour analgesia.
The optimal PIEB and patient controlled epidural administered (PCEA) bolus settings are still unknown. Therefore, in this study, the investigators aim to compare analgesia outcomes both high and low PIEB flow rate settings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | Bupivacaine 0.08% - fentanyl 2mcg on the following pump settings: PIEB flow rate = high; interval = 60 min |
|
| Group B | Experimental | Bupivacaine 0.08% - fentanyl 2mcg on the following pump settin PIEB flow rate = high; interval = 45 min |
|
| Group C | Experimental | Bupivacaine 0.08% - fentanyl 2mcg on the following pump settin PIEB flow rate = low; interval = 45 min |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine 0.08% - fentanyl 2mcg | Drug | In each arm, bupivacaine and fentanyl are being delivered at different intervals and rates for the maintenance of labor analgesia. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Breakthrough pain | Proportion of patients in each group who required a provider administered supplemental bolus for breakthrough pain | Duration of labor with epidural |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anton Chau, MD MMSc | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BC Women's Hospital | Vancouver | British Columbia | V6H 3N1 | Canada |
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D005283 | Fentanyl |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| D000588 |
| Amines |
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |