Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Sohag University
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach
Study Overview
Brief Summary
This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients will perform orthopedic surgery
- •Physical state I or II according to ASA classification
- •Age between (18 - 50 )
- •Body mass index less than 30
Exclusion Criteria
- •Patient refusal .
- •Local infection at the puncture site .
- •Allergy to any of the drugs to be administrated .
- •Old age patients
- •Obese patients
- •Previous spinal surgery .
- •Spinal stenosis .
- •Multiple sclerosis .
- •Coagulopathy.
- •Hypovolemia .
- •Systemic infection .
- •Aortic stenosis .
- •Spina bifida and back deformity .
Arms & Interventions
Group (1): spinal anesthesia with median approach
patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques
Intervention: Group (1): spinal anesthesia with median approach (Procedure)
Group (2): spinal anesthesia with paramedian approach
patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques
Intervention: Group (2): spinal anesthesia with paramedian approach (Procedure)
Outcomes
Primary Outcomes
The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach
Time Frame: 24 hours, 72 hours, and 1 week after spinal anesthesia.
pain measurement by numerical rating scale (NRS)
Secondary Outcomes
No secondary outcomes reported
Investigators
Areej Mohamed Abdelkader
Resident, Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Sohag University
Sohag University