IN FAT PATIENT, COMPARATIVE STUDY OF BEFORE PROCEDURE ULTRASOUND AND DURING PROCEDURE ULTRASOUND GUIDED COMBINED SPINAL EPIDURAL ANAESTHESIA.

Completed

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2021/09/036465
• Lead Sponsor: INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES

Brief Summary

Combined Spinal epidural anaesthesia is generallyperformed using a surface landmark-based “blind†technique. The incidences ofpost-dural puncture headache, paresthesia, and spinal haematoma are directlyassociated with multiple passes and attempts while administering combined spinalepidural anaesthesia. A pre-procedural ultrasound (PUS) for neuraxial techniquehas been used successfully to perform Combined Spinal epidural anaesthesia.Information on the use of real-time ultrasound(RUS)guided Combined Spinal epidural anaesthesia is limited and has limited to caseseries and case reports and few prospective observational studies. The RUSpermits a more accurate estimation of the appropriate needle insertion site andtrajectory 

AIM

The aim of this study isto compare the efficacy of Pre-ProcedureUltrasound and Real-time Ultrasound approach for Combined Spinal Epidural anaesthesia.

OBJECTIVE

The objective of thisstudy is:

1.     To compare the effect of pre-procedure ultrasound and real-time ultrasound incombined spinal epidural (CSE) anaesthesiain obese patients to perform theelective lower abdominal, perineal and lower limb surgeries.

2.     To compare the number ofattempts, number of passes, and time taken for successful lumbar puncture inboth of pre-procedure ultrasound and real-time ultrasound in combined spinalepidural (CSE) anaesthesia

Detailed Description

Not available

Study Timeline

• Study Start: 2021-09-15
• Study Completion: 2022-03-31
• Last Update Posted: 2022-04-27

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Patients aged 20-85 years, American Society of Anesthesiologists (ASA) grade II or III obese with body mass index (BMI) >30 kg/m2 scheduled for the elective lower abdominal, perineal and lower limb surgeries patients will be eligible.

Exclusion Criteria

It includes contraindications to neuraxial blocks, pregnant patients and the patient refusal for combined spinal epidural anaesthesia.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of attempts:	seconds
Number of passes:	seconds

Secondary Outcome Measures

Name	Time	Method
Time to achieve successful Anaesthesia	seconds

Trial Locations

Locations (1)

Emergency ICU and Red Zone Area of Department of Trauma and Emergency; 🇮🇳 Patna, BIHAR, India

Emergency ICU and Red Zone Area of Department of Trauma and Emergency

🇮🇳Patna, BIHAR, India

DR RAVI ANAND

Principal investigator

7739290418

drravianand75@yahoo.com