'' Abdominal Crunch Positions With the Others in Terms of Interspinous Distance in Adult Patients ''

Anesthesia, Spinal Clinical Trial

Official title:

''Compare Abdominal Crunch Positions With Conventional Sitting and Lateral Decubitus Positions in Terms of Interspinous Distance in Adult Patients''

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04092478
• Other study ID #: YTire
• Status: Completed
• Start date: October 23, 2019
• Est. completion date: January 31, 2020

Study information

• Verified date: September 2020
• Source: Konya Training and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

The most important factor for ease of operation and safety during spinal anesthesia is the determination of the spinal space. Increasing lumbar flexion facilitates access to the spinal space. Traditionally, patients undergo spinal anesthesia with lateral or sitting lumbar flexion.

In a study by Martha L Walker et al., The maximum extension of the knees, adduction of the hip, and a modified sitting position with the back flexion, ie, the abdominal crunch position, were found to be effective in increasing the flexion of the lumbar spine.

In our study, we aimed to measure the interspinal distance with the abdominal crunch position with the help of ultrasonography (USG) and to compare the interspinal distance with the measurements obtained in traditional positions (sitting position and lateral decubitus).

Description:

Interspinal distance will be measured by ultrasonography by 3 different positions, respectively, for the patients who will undergo elective surgery and meet the study criteria and give voluntary consent.

This evaluation process is to record and compare the measurement results. Patients will not undergo any interventional procedures.

Patients who have difficulty in positioning due to hip, femur, knee and tibial fractures or arthrosis and who cannot be communicated will not be included in the study.

One hundred of patients over the age of 18 who will undergo elective surgery will be included in the study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: January 31, 2020
• Est. primary completion date: January 8, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients over the age of 18

• Undergo elective surgery

Exclusion Criteria:

• Patients with vertebral anomaly

• Patient with not communicated

Related Conditions & MeSH terms

• Anesthesia, Spinal

Intervention

Other:
• Spinal Anesthesia Position
The patient positions during the spinal anesthesia

Locations

Country	Name	City	State
Turkey	Yasin Tire	Konya	Meram

Sponsors (1)

Lead Sponsor	Collaborator
Konya Training and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Inter spinal distance	Increasing of the Inter spinal distance	Through study completion, an average of 6 months.