Real-time USG thoracic epidural catheter insertion comparing to landmark technique

Phase 4

Completed

• Conditions: Thoracic epidural catheter insertion is a challenging procedure, and previous pieces of evidence together with our experience found that using land-mark technique had a highly failure rate; Thoracic Epidural Analgesia, Postoperative pain, Ultrasound guidance, Land-mark Technique, Regional Analgesia, Neuraxial Block

• Registration Number: TCTR20200522002
• Lead Sponsor: Faculty of Medicine, Prince of Songkla University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2020-05-22
• Study Completion: 2021-02-15
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

Age between 18 to 80 years old
Schedule for elective major abdominal and thoracic surgery
Plan to place epidural catheter insertion for perioperative and postoperative pain control

Exclusion Criteria

Refuse to participate in the study
ASA physical status > III
Having contraindication for neuraxial block
Having thoracic spine deformity
Having a history of thoracic spine surgery
Pregnancy
Morbid obesity (BMI more than 35 kg/m2)
Allergy to local anesthetic drug

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
success rate at the first attempt within 30 min of trying ortherwise will determine as a failure counting the attempting to place the epidural catheter

Secondary Outcome Measures

Name	Time	Method
number attempt to get loss of resistance within 30 min after of procedure counting method how many needle advancement to get loss of resistance,number of skin puncture within 30 min of procedure counting the number of skin puncture (insertion points)),procedure time within 30 min of procedure counting clock, time from epidural needle insertion to get LOR,preparation time; time from patient position to local anesthetic skin infitratrion within 30 min counting clock,discomfort score; rating scale 0-10 within 30 min of procedure ask patients to rate discofort score