Different Type Ultrasound Guided Epidural Block Methods

Ultrasound Clinical Trial

Official title:

Evaluation of Different Type Ultrasound Guided Epidural Block Methods ; Paramedian Sagittal and Transverse Interlaminar View

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04222192
• Other study ID #: 2011-KAEK-25 2019/12-09
• Status: Completed
• Phase: N/A
• Start date: January 15, 2020
• Est. completion date: January 30, 2021

Study information

• Verified date: December 2022
• Source: Bursa Yüksek Ihtisas Education and Research Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The nerve blocks applied with ultrasonography are used for pain and operation after many operations today. Applications with ultrasonography shorten the processing time, reduce the amount of local anesthetic used and lead to fewer complications. However, the use of ultrasonography is not so common in neuraxial regional anesthesia applications. In the literature, epidural applications accompanied by ultrasonography were applied with different approaches.

Description:

In this study the investigators will used the two different ultrasound -guided epidural block approach . Paramedian sagittal oblique and Transverse interlaminar. The investigators will used this two technique in epidural catheter placement using the real-time ultrasound.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 90
• Est. completion date: January 30, 2021
• Est. primary completion date: January 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 85 Years

Eligibility

Inclusion Criteria:

• Patients who were in the American Society of Anesthesiologists (ASA) I-III class
• Patients whom need medical epidural anesthesia
• Patients with consent to participate in the study

Exclusion Criteria:

• Patients with a known history of back surgery
• Bleeding diathesis disorder
• Allergy to local anesthetics
• Patient refusal

Related Conditions & MeSH terms

• Epidural Anesthesia
• Ultrasound

Intervention

Other:
• Epidural block
Epidural catheter insertions

Locations

Country	Name	City	State
Turkey	Bursa Yuksek Ihtisas Training and Research Hospital	Bursa

Sponsors (1)

Lead Sponsor	Collaborator
Bursa Yüksek Ihtisas Education and Research Hospital

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of needle routing	number of needle redirects forming successful block	20 minutes
Primary	Epidural catheter placement time	time (minutes) until the epidural catheter is inserted	20 minutes
Secondary	Epidural igne visibility degree	4 = Excellent visibility, 3 = Medium visibility, 2 = Weak visibility 1 = No visibility using a 4-point Likert scale by the practitioner	20 minutes
Secondary	Difficulty of catheter placement	Assessed by the Practitioner using a 10-point scale, 0: easiest, 10: hardest)	30 minutes
Secondary	distance measurement of neuraxial structures	Anterior and posterior complex distance measured during epidural administration.; Distance from skin to anterior aspect of ligament flavum (cm); Distance from skin to posterior dura (cm)	30 minutes
Secondary	Patient position	Patient position during epidural placement Sitting Lateral	20 minutes