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Comparison of clinical utilities for real-time ultrasound-guided thoracic epidural catheter placement in sitting and prone positio

Not Applicable
Completed
Conditions
Not Applicable
Registration Number
KCT0005757
Lead Sponsor
Asan Medical Center
Brief Summary

sixty-four patients were included in this study. The needling time was significantly shorter in group P than in group S (36.5 (26.5–51.0) vs 59.5 (34.5–152.0) s, p<0.01). The numbers of needle passes and skin punctures were significantly lesser in group P than in group S. First-pass success was higher in group P than in group S. Group P had higher GRS compared with group S. The time to mark space, final success, US visibility score, Patient Comfort Scale score, procedural pain intensity, and patient satisfaction did not differ between the groups. One patient in group S developed a vasovagal reaction.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
64
Inclusion Criteria

Patients scheduled upper abdominal surgery or thoracic surgery who require thoracic epidural catheter placement at the T6-12 level
- Adult patients (20–80 years) were considered eligible for enrollment
- Patients who voluntarily consent to this clinical study

Exclusion Criteria

- allergy to local anesthetics and contrast dye or steroids
- coagulopathy or infection or use the anticoagulants or antiplatelet medication
- neurological or psychiatric disorders
- does not agree to participate in the study
- prior spine instrumentation or compression fracture near the insertion site

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
needling time: Time for epidural needle to reach the epidural space after skin puncture
Secondary Outcome Measures
NameTimeMethod
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