Comparison of two different positions to administer spinal anaesthesia in pregnant women for planned cesarean section.

Completed

Conditions: Pregnancy, childbirth and the puerperium,

Registration Number: CTRI/2021/05/033687

Lead Sponsor: Dr Intekhab Ahmad Khan

Brief Summary: Spinal anaesthesia is a preferred anaesthesia for an elective cesarean section as it has numerous advantages for both baby and mother. Anatomical changes during pregnancy make spinal anaesthesia technically challenging for an anesthesiologist. Patient positioning is very important as it improves the patient comfort, reduces the time taken and the number of attempts required, and also decreases the number of needle to bone contact during the procedure.

In this study, we are comparing the above mentioned points in two positions namely traditional sitting position and cross legged sitting position in women undergoing elective cesarean section.

The study is based on the hypothesis that cross legged sitting position provides optimal lumbar flexion of the spine providing better access to the intervertebral spaces and better patient comfort, as seen in one of the previous studies measuring posterior longitudinal ligament, ligamentum flavum and interlaminar distances, ultrasonographically, in pregnant women for epidural placement.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Female

Target Recruitment: 220

Inclusion Criteria

ASA Grade 2 parturients undergoing elective cesarean section with age 18 to 50 years BMI <35 kg/m2.

Exclusion Criteria

Patient refusal ASA 3 and ASA 4 patients Obvious scoliosis/spinal deformity Surgical scar in lumbar area Skin infection in the lumbar area Coagulopathy.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare single attempt successful needle placement in traditional sitting position versus cross legged sitting position.	Number of attempts in the given position at the time of procedure.

Secondary Outcome Measures

Name	Time	Method
Block characteristics and hemodynamic changes
Ease of landmark palpation and needle-bone contact	During and immediately after the procedure-ease of palpation
Patient comfort	After the procedure on a likert scale.

Trial Locations

Locations (1): Kasturba Hospital Manipal
🇮🇳
Udupi, KARNATAKA, India
Kasturba Hospital Manipal
🇮🇳Udupi, KARNATAKA, India
Dr Intekhab Ahmad Khan
Principal investigator
7020113913
int1koool9@gmail.com