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Dural Puncture Epidural Technique Versus Conventional Epidural Techmique

Not Applicable
Completed
Conditions
Gynecologic Disease Requiring Laparoscopic Hysterectomy Under Neuraxial Anesthesia
Interventions
Procedure: Conventional Epidural Technique
Procedure: Dural Puncture Epidural Technique using pencil-point 25G Whitacre needle
Registration Number
NCT05032677
Lead Sponsor
Cairo University
Brief Summary

This study will be conducted on 50 patients of ASA grade I and II aged from 25 to 55 years and presented for laparoscopic hysterectomy. Patients will be divided into two equal groups; group A control group for conventional epidural technique(n=25) and group B for 25G dural puncture epidural with 25G pencil point Whitacre spinal needle (n=25). Randomization will be done using computer generated number and concealed using sequentially numbered, sealed opaque envelope.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
50
Inclusion Criteria
  • ASA I and II
  • Height(150-170 cm)
Exclusion Criteria
  • patient refusal
  • hypersensitivity to local anesthetic drugs
  • bleeding disorders and coagulopathy(platelets count less than 80000,INR less than 1.5 or therapeutic dose of anticoagulant).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dural Puncture Epidural technique using pencil-point 25G Whitacre needleConventional Epidural Technique-
Conventional Epidural TechniqueDural Puncture Epidural Technique using pencil-point 25G Whitacre needle-
Primary Outcome Measures
NameTimeMethod
incidence of bilateral sacral blockadeUp to 30 minutes after local anesthetic injection

Sensory blockade was evaluated using a non-traumatic pinprick stimulus starting at the S2 dermatome and moving in a caudad direction (measured every 2 minutes)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Anesthesia, Surgical ICU, and Pain Management

🇪🇬

Cairo, Egypt

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