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Phase 4 N=42 Triple-blind Treatment

ED90 for Hyperbaric Bupivacaine in Super Obese Parturients

Obesity, Morbid · Spinal Anesthesia · Cesarean Delivery

Enrolled (actual)
42
Serious AEs
0.0%
Results posted
Apr 2026
Primary outcome: Primary: Number of Participants With Successful Blocks for Induction (Success Induction) — 1; 3; 27; 11 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Bupivacaine (Drug)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
Duke University
Primary completion
Dec 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Successful Blocks for Induction (Success Induction)
1; 3; 27; 11
PRIMARY
Number of Participants With Successful Blocks for Operation (Success Operation)
0; 2; 21; 11
PRIMARY
ED90 (90% Effective Dose) of Intrathecal Bupivacaine for Cesarean Delivery
11.56

Summary

The aim of this study is to determine the ED90 of hyperbaric intrathecal bupivacaine for the super obese population undergoing cesarean section under a combined spinal epidural technique.

Eligibility Criteria

Inclusion Criteria

  • American Society of Anesthesiology (ASA) class 2 and 3
  • English speaking
  • Gestational age > 36 weeks
  • Scheduled for cesarean delivery under combined spinal epidural anesthesia
  • 18 years or older
  • BMI > 50 kg/m2

Exclusion Criteria

  • History of past or current intravenous drug or chronic opioid abuse
  • Allergy or contraindication to any study medications
  • Intrapartum cesarean delivery under epidural anesthesia
  • Cesarean delivery under general anesthesia
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03781388). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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