Education and Training

A Study Comparing Two Spinal Techniques for for Cesarean Delivery Anesthesia

The purpose of this study is to compare single shot versus sequential bolus spinal technique via a catheter in patients undergoing Cesarean Section. We aim to determine which technique results in less blood pressure reduction and subsequent vasopressor use.

Other study endpoints include the incidence of maternal post dural puncture headaches and nausea and vomiting. In addition blood and CSF will be collected to see if biochemical mediators are related to wound hyperalgesia and healing.

Stanford is currently not accepting patients for this trial.

Intervention(s):

  • device: Spinal Anesthesia Group (SAG)
  • device: Wiley Spinal Catheter

Eligibility


Inclusion Criteria:

   - American Society of Anesthesiologists (ASA) Class I, II patients

   - 18-45 year of age

   - Uncomplicated singleton, term pregnancy

   - Scheduled for Cesarean section

Exclusion Criteria:

   - ASA class 3 and above

   - Morbid obesity (BMI>40 kg/m2)

   - Postpartum tubal ligation after cesarean

   - Hypersensitivity and/or prior reaction to opioids

   - Ineffective spinal

   - Conversion to general anesthesia

   - Multiple gestation pregnancy

   - Emergency C-section

   - Contraindication to regional anesthesia

   - History of chronic opioid use

Ages Eligible for Study

18 Years - 45 Years

Genders Eligible for Study

Female

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Brendan Carvalho
650-222-7967
Not Recruiting