'' Abdominal Crunch Positions With the Others in Terms of Interspinous Distance in Adult Patients ''

Completed

• Conditions: Anesthesia, Spinal
• Interventions: Other: Spinal Anesthesia Position

• Registration Number: NCT04092478
• Lead Sponsor: Konya Meram State Hospital

Brief Summary

The most important factor for ease of operation and safety during spinal anesthesia is the determination of the spinal space. Increasing lumbar flexion facilitates access to the spinal space. Traditionally, patients undergo spinal anesthesia with lateral or sitting lumbar flexion.

In a study by Martha L Walker et al., The maximum extension of the knees, adduction of the hip, and a modified sitting position with the back flexion, ie, the abdominal crunch position, were found to be effective in increasing the flexion of the lumbar spine.

In our study, we aimed to measure the interspinal distance with the abdominal crunch position with the help of ultrasonography (USG) and to compare the interspinal distance with the measurements obtained in traditional positions (sitting position and lateral decubitus).

Detailed Description

Interspinal distance will be measured by ultrasonography by 3 different positions, respectively, for the patients who will undergo elective surgery and meet the study criteria and give voluntary consent.

This evaluation process is to record and compare the measurement results. Patients will not undergo any interventional procedures.

Patients who have difficulty in positioning due to hip, femur, knee and tibial fractures or arthrosis and who cannot be communicated will not be included in the study.

One hundred of patients over the age of 18 who will undergo elective surgery will be included in the study.

Study Timeline

• Study First Submitted: 2019-09-13
• Study First Submitted QC: 2019-09-16
• Study First Posted: 2019-09-17
• Study Start: 2019-10-23
• Primary Completion: 2020-01-08
• Study Completion: 2020-01-31
• Status Verified: 2020-09
• Last Update Submitted: 2020-09-12
• Last Update Posted: 2020-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Patients over the age of 18
• Undergo elective surgery

Exclusion Criteria

• Patients with vertebral anomaly
• Patient with not communicated

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Traditional Sitting Position	Spinal Anesthesia Position	We are going to use the Traditional Sitting Position on each patients.
Lateral Decubitis Position	Spinal Anesthesia Position	We are going to use the Lateral Decubitis Position on each patients.
Abdominal Crunch Position	Spinal Anesthesia Position	We are going to use the Abdominal Crunch Position on each patients.

Primary Outcome Measures

Name	Time	Method
Inter spinal distance	Through study completion, an average of 6 months.	Increasing of the Inter spinal distance

Trial Locations

Locations (1)

Yasin Tire; 🇹🇷 Konya, Meram, Turkey