Comparison of epidural catheter fixation methods

Completed

Conditions: Disease of stomach and duodenum, unspecified, (2) ICD-10 Condition: C189||Malignant neoplasm of colon, unspecified, (3) ICD-10 Condition: C649||Malignant neoplasm of unspecifiedkidney, except renal pelvis, (4) ICD-10 Condition: C55||Malignant neoplasm of uterus, partunspecified, (5) ICD-10 Condition: V099||Pedestrian injured in unspecifiedtransport accident, (6) ICD-10 Condition: S729||Unspecified fracture of femur, (7) ICD-10 Condition: S829||Unspecified fracture of lower leg,

Registration Number: CTRI/2021/01/030758

Lead Sponsor: Vidarshna V

Brief Summary: Epidural catheter fixation is very important. The technique of securing the epidural catheter has a major bearing on the efficacy of epidural analgesia

Inward migration of the epidural catheter has been reported with intravascular, subdural or subarachnoid injection of repeat doses. Outward migration might lead to loss of analgesia and unsuccessful attempts to re-establish it. Many factors have been correlated with migration, but an appropriate fixation technique for the catheter should form the most practical way to prevent it. To identify a simple, safe, non-invasive and effective method of fixing the epidural catheter.

Group S - Standard dressing

Group T - Subcutaneous tunneling

Group L - Lock-it fixator device

Patient is followed for 24hrs and observed for analgesia adequacy and catheter migration.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 150

Inclusion Criteria

Patients requiring post operative epidural analgesia.

Exclusion Criteria

Contraindication to neuraxial blockade Pre-existing neurological disabilities Significant spinal deformities Unable to understand, express and communicate visual analog scores.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To identify a simple, safe and effective method of fixing the epidural catheter.	During fixation \| At end of surgery during shifting \| During removal - at 24hrs

Secondary Outcome Measures

Name	Time	Method
Patient comfort	During catheter placement

Trial Locations

Locations (1): Sri Ramachandra Institute of Higher Education and Research
🇮🇳
Chennai, TAMIL NADU, India
Sri Ramachandra Institute of Higher Education and Research
🇮🇳Chennai, TAMIL NADU, India
Dr Vidarshna V
Principal investigator
8056021817
vid7209@gmail.com