How the Angle of the Operating Table Affects the Success of Spinal Anesthesia

Not yet recruiting

Conditions: Injuries to the knee and lower leg,

Registration Number: CTRI/2025/05/087036

Lead Sponsor: Gandhi Medical College

Brief Summary: Spinal Anaesthesia is neuraxial anaesthesia technique in which local anaesthetic is directly placed into subarachnoid space. Spinal anesthesia is only performed in the lumbar spine used for surgical procedures involving the lower abdomen, pelvis, and lower extremities. There is vital importance of patient position acquired during and just after induction of spinal anaesthesia as it can affect level of spinal blockade, hemodynamic changes and other vital parameters. The role of table tilt in subarachnoid block is integral to the success and safety of the anesthesia procedure. During SAB, anesthetic medication is injected into the subarachnoid space, leading to temporary regional anesthesia. Table tilt is crucial for optimizing the patient’s positioning, enhancing the efficacy of the block, and minimizing complications. Table tilt, especially in the Trendelenburg position, promotes the gravitational spread of the anesthetic within the subarachnoid space. This enhances the uniform distribution of the medication, ensuring effective and reliable anesthesia coverage for surgical procedures below the umbilicus level. Spinal anesthesia induces sensory and motor blockade. Monitoring these blockades is crucial to ensure appropriate anesthesia levels.Motor block is monitored by modified Bromage scale. Adjusting the table tilt helps prevent unintended high blocks, reducing the risk of anesthesia affecting higher levels in the spinal cord. This is crucial in averting respiratory complications associated with extensive anesthesia. A clinometer is a measuring tool used to determine angles of inclination or elevation. As most anaesthesiologist are not aware of the degree of tilt given. Once installed, users can calibrate the app and then use their Android device to measure the exact degree of tilt given after sub arachnoid block, thus making tilt given objective and quantitatively documented.

In this study we aim to evaluate the correlation of different degrees/angles of operation table tilt on level of blockade and to assess the significance of hemodynamic changes, vital parameters & adverse effects related to spinal anaesthesia

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 120

Inclusion Criteria

ASA Grade 1 and 2, BMI less than 28kg per meter square.

Exclusion Criteria

Patient who refuses, patient aged below 18 or above 60, pregnancy, drug allergy, systemic comorbidity, failed block.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the correlation of different degrees/angles of operation table tilt on level of blockade in spinal anaesthesia.	At baseline, immediately after giving spinal anaesthesia, after 1min, 5min, 10 min, 15 min, 20 min

Secondary Outcome Measures

Name	Time	Method
To assess the significance of hemodynamic changes, vital parameters & adverse effects related to spinal anaesthesia	At baseline, immediately after giving spinal anaesthesia, after 1min, 5min, 10 min, 15 min, 20 min

Trial Locations

Locations (1): Hamidia hospital
🇮🇳
Bhopal, MADHYA PRADESH, India
Hamidia hospital
🇮🇳Bhopal, MADHYA PRADESH, India
Dr Kriti Sharma
Principal investigator
9068387511
sharmakriti369@gmail.com