Simulator training to improve epidural catheter placement skills
Official title: Effectiveness of Simulation-Based Training for Epidural Analgesia Placement in Obstetric Settings: A Prospective, Randomized, Monocentric Study
Run by University of Padova · NCT07056140 · Data updated 2026-11-12
This project tests whether a short simulator course helps anesthesia residents who are new to epidurals place epidural catheters more successfully during labor.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 86 (estimated) |
| Sponsor | University of Padova Academic / other |
| Locations | 1 site (Padova) |
| Status | Recruiting |
| Started | September 12, 2025 |
| Main results expected | July 2027 |
| Study ends | July 2027 |
| Registry record updated | September 15, 2025 |
| Trial ID | NCT07056140 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are anesthesia residents who have performed fewer than 20 epidural catheter placements, have no prior epidural-simulator experience, can attend in-person sessions at Padua, and can give informed consent.
✕Probably not a fit
Residents with 20 or more prior epidural placements, those already experienced with epidural simulators, or those unable to attend in-person training are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This single-center, randomized controlled study at the University Hospital of Padua will compare a simulation-based training program plus an anatomy lecture to standard clinical training for anesthesia residents. Eligible participants are residents with fewer than 20 prior epidural placements and no prior simulator experience; they will be randomized to either a 3-hour practical session using Kyoto Kagaku epidural simulators with a frontal anatomy lecture or to usual in vivo training. The primary outcome is the number of successful epidural catheter placements performed by residents during their rotation, with secondary outcomes including procedure time, need for assistance, and trainee confidence/skill ratings. The trial is open-label and conducted within the teaching hospital's obstetric anesthesia rotations.
Why it matters
Potential benefit: If successful, this approach could raise resident success rates and reduce failed or traumatic epidural attempts for laboring women.
How similar studies have gone: Previous simulation studies in anesthesiology and obstetric anesthesia have shown improved technical skills and trainee confidence, though direct clinical outcome improvements have been less consistently demonstrated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Residents in Anesthesia * Informed Consent Exclusion Criteria: * An experience of 20 or more epidural catheter positioning * Experience with epidural simulator
Where it's running
-
University Hospital of Padua
Padova, Italy Recruiting
Study contacts
- Principal investigator: Alessandro De Cassai — University of Padova
- Study coordinator: Sabina Medical Doctor, Rizzi
- Email: sabina.rizzi@aopd.veneto.it
- Phone: +390498213090
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.