Comparison of Skin - Epidural and Intervertebral Distances Measured by Ultrasonography in Sitting and Rider Position
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia, Epidural
- Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Intervertebral distance
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
Epidural anesthesia/analgesia can be performed under various positions. In this study, the investigators aimed to compare the intervertebral and skin-epidural distances in "the sitting" and "rider" positions with the help of ultrasonography
Detailed Description
Complication rates in epidural intervention, which can be used for both intraoperative and postoperative analgesia are higher than peripheral blocks, especially in open abdominal surgeries. In epidural intervention, correct determination of patient position, puncture site and the distance from the skin to the epidural area (skin - epidural distance) is very important in terms of preventing complications. The location of the point where the epidural intervention will be made is aimed to be determined using the anatomical surface markings in the blind technique. However, anatomical surface markings are unreliable in pregnant or obese patients and patients with anatomical variants. The use of pre-procedure ultrasonography allows obtaining information such as midline and baseline determination, skin-epidural distance measurement, increasing the success of the intervention. The most preferred positions for epidural interventions are sitting and lateral decubitus positions. Many modifications of these positions also exist. The rider position is used in a few centers in and out of Turkey, but there is only one clinical study related to the position.
Investigators
Nazim Ufuk Turhaner
Principal Investigator
Istanbul University - Cerrahpasa (IUC)
Eligibility Criteria
Inclusion Criteria
- •ASA (American Society of Anesthesiologists) classification I-III
Exclusion Criteria
- •Prior spinal surgery
- •Spinal deformity
- •Recent spinal and head trauma
- •Infection in the area to be measured
- •Severe hypovolemia
- •Severe edema
- •severe abdominal distention
- •Severe pain
- •Difficulty in cooperation
Outcomes
Primary Outcomes
Intervertebral distance
Time Frame: 5 minutes
Comparison of intervertebral distance measurements with the help of ultrasonography in the thoracic and lumbar regions in sitting and rider positions.
Skin - epidural distance
Time Frame: 5 minutes
Comparison of skin - epidural distance measurements with the help of ultrasonography in the thoracic and lumbar regions in sitting and rider positions.