Pregnancy Related Clinical Trial
Official title:
A Novel Method of Improving Accuracy of Anatomical Landmarks for Neuraxial Blocks in Pregnancy: The Sacral Anatomical Interspace Landmark (SAIL) Technique
This study is a randomized clinical trial to evaluate the accuracy of the novel SAIL technique compared to the classic intercristal line technique in estimating the L4-L5 interspace for labor epidural or spinal anesthesia placement. The investigators hypothesize that the SAIL technique will be more accurate in successfully locating the L4-L5 interspace in pregnant women than the classic intercristal line technique.
The current standard technique aiming at identifying the L4-L5 intervertebral space as a
reference point before performing a neuraxial block relies on the correct clinical estimation
of the intercristal line. The classic intercristal line technique uses an imaginary line that
intersects the iliac crests to determine a safe puncture level to access. In pregnant women,
the classic technique fails to identify the safe puncture level 40 % of the time.
The newly proposed Sacral Anatomical Interspace Landmark (SAIL) technique consists of using
the sacral bone to determine a safe puncture level to access.
Lumbar ultrasound will determine the accuracy of each clinical technique in identifying the
L4-L5 interspace (target).
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