Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery

Not Applicable

Recruiting

• Conditions: Anesthesia; Functional

• Registration Number: NCT07047469
• Lead Sponsor: Sohag University

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-06
• Study Start: 2025-06-13
• Study First Submitted: 2025-06-24
• Study First Submitted QC: 2025-06-24
• Last Update Submitted: 2025-06-24
• Study First Posted: 2025-07-02
• Last Update Posted: 2025-07-02
• Primary Completion: 2025-12-20
• Study Completion: 2025-12-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 110

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 .

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach	24 hours, 72 hours, and 1 week after spinal anesthesia.	pain measurement by numerical rating scale (NRS)

Trial Locations

Locations (1)

Sohag University Hospital; 🇪🇬 Sohag, Egypt