ltrasound-assisted versus landmark-based spinal block performance in emergency caesarean delivery in obese patients at a central hospital
- Conditions
- Anaesthesia
- Registration Number
- PACTR202001800912516
- Lead Sponsor
- Bojan Korda
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- Female
- Target Recruitment
- 36
The patient inclusion criteria for this study are:
•ASA I, II and III patients
•age ? 18 years
•presenting for emergency caesarean delivery
•who consent to take part in the study
•BMI at first antenatal weight recording ? 30kg.m-2
•under spinal block as the first choice of anaesthetic
•by an anaesthetist who meets study criteria.
The anaesthetist inclusion criteria for this study are:
•qualified doctor working in the Department of Anaesthesiology
•medical officer or registrar
•with at least two years of supervised experience in anaesthesia
•who consents to inclusion to the study.
The patient exclusion criteria in this study are:
•patients with contraindications to spinal block, including known spinal disease
•patient unable to communicate in English.
The anaesthetist exclusion criteria for this study are
•prior inclusion in the study two times.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method First-pass success rate - rate at which subarachnoid space is reached on first puncture and pass of spinal needle;Number of needle punctures - the number of times the spinal needle was withdrawn from the skin and reinserted. ;Number of needle passes - the number of times the spinal needle is advanced, withdrawn and then redirected towards the subarachnoid space without exiting the skin. ;Procedure time - the time from first insertion of the spinal needle through the skin to connecting the syringe for injection after free cerebrospinal fluid flow is noted
- Secondary Outcome Measures
Name Time Method Initial intervertebral space used - the intervertebral space entered with the first needle puncture;Final intervertebral space - the intervertebral space entered with the needle puncture resulting in successful cerebrospinal fluid flow;Number of intervertebral spaces attempted - number of different intervertebral spaces entered during spinal anaesthetic administration