Different Type Ultrasound Guided Epidural Block Methods

Not Applicable

Completed

• Conditions: Ultrasound; Epidural Anesthesia
• Interventions: Other: Epidural block

• Registration Number: NCT04222192
• Lead Sponsor: Bursa Yüksek İhtisas Education and Research Hospital

Brief 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.

Detailed 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.

Study Timeline

• Study First Submitted: 2020-01-04
• Study First Submitted QC: 2020-01-07
• Study First Posted: 2020-01-09
• Study Start: 2020-01-15
• Primary Completion: 2021-01-15
• Study Completion: 2021-01-30
• Status Verified: 2022-12
• Last Update Submitted: 2022-12-21
• Last Update Posted: 2022-12-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional Epidural application	Epidural block	Epidural catheter insertions with conventional (anatomical landmarks use) method
Paramedian sagittal application	Epidural block	Epidural catheter insertions with real time ultrasound guided Paramedian sagittal approach
Transverse Interlaminar application	Epidural block	Epidural catheter insertions with real time ultrasound guided Transverse Interlaminar approach

Primary Outcome Measures

Name	Time	Method
Number of needle routing	20 minutes	number of needle redirects forming successful block
Epidural catheter placement time	20 minutes	time (minutes) until the epidural catheter is inserted

Secondary Outcome Measures

Name	Time	Method
Patient position	20 minutes	Patient position during epidural placement Sitting Lateral
Difficulty of catheter placement	30 minutes	Assessed by the Practitioner using a 10-point scale, 0: easiest, 10: hardest)
Epidural igne visibility degree	20 minutes	4 = Excellent visibility, 3 = Medium visibility, 2 = Weak visibility 1 = No visibility using a 4-point Likert scale by the practitioner
distance measurement of neuraxial structures	30 minutes	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)

Trial Locations

Locations (1)

Bursa Yuksek Ihtisas Training and Research Hospital; 🇹🇷 Bursa, Turkey