Ultrasound assisted versus landmark-guided paramedian technique of spinal anaesthesia in elderly patients.

Completed

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2022/04/041964
• Lead Sponsor: Dept of Anaesthesiology Pt B D Sharma PGIMS Rohtak

Brief Summary

The present study will be conducted in the Department ofAnaesthesiology and Critical care, Pt B. D. Sharma, PGIMS, Rohtak, in 60patients of either sex aged â‰¥60 years (ASA I,II,III) posted for surgeryunder spinal anaesthesia.  The aim of thestudy is to compare preprocedural ultrasound aided and landmark guidedparamedian spinal anaesthesia in elderly patients. In ultrasound aided group, a preprocedural ultrasound scan will be performed and skin marking for spinal entry site will be done using ultrasound scan. Spinal anesthesia will be performed via paramedian approach using the skin marking site as entry point. In landmark guided group spinal anesthesia will be performed using conventional landmark-guided paramedian technique. The primary objective of thestudy is to compare the two groups with regards to number of needle passes (thenumber of forward advancements of the spinal needle in a given interspinousspace, i.e., withdrawal and redirection of spinal needle without exiting theskin). The secondary objectives are to compare the two groups with regard to number of skin insertion attempts,time for identifying landmarks,time for administering spinal anaesthesia and assessment of periprocedural discomfort.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-25
• Last Update Posted: 2023-05-08

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Elderly patients (age≥60 years) scheduled to undergoing surgery under spinal anesthesia.
• Patients with ASA physical status classification I, II, III.

Exclusion Criteria

• Patients having contraindication to spinal anaesthesia (coagulopathy, local infection, allergy to local anesthetic).
• Patients having marked spinal deformity and history of previous spinal surgery.
• Patients having BMI≥30.
• Patients unwilling to participate.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the two groups with regards to the number of needle passes (the number of forward advancements of the spinal needle in a given interspinous space, i.e., withdrawal and redirection of spinal needle without exiting the skin.)	1. Initiation of spinal anesthesia. | 2. Completion of spinal anesthetic injection.

Secondary Outcome Measures

Name	Time	Method
Number of skin insertion attempts (the number of times the spinal needle was withdrawn from the skin and reinserted)	1. Initiation of spinal anesthesia.
Time for identifying landmarks.	1. Initiation of spinal anesthesia
Time for administering spinal anaesthesia.	1. Initiation of spinal anesthesia
Assessment of periprocedural discomfort.	1. Initiation of spinal anesthesia.

Trial Locations

Locations (1)

Pt. B. D. Sharma PGIMS; 🇮🇳 Rohtak, HARYANA, India

Pt. B. D. Sharma PGIMS

🇮🇳Rohtak, HARYANA, India

Dr Jatin Lal

Principal investigator

9728265511

dr.jatinlal@gmail.com