Real-time Ultrasound-guided Paramedian Epidural Access: Evaluation of a Novel In-plane Transverse View Technique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 2
- 主要终点
- Real-time ultrasound-guided paramedian epidural access:
研究概览
简要总结
The aim of this study is to demonstrate the feasibility of a new technique using real time ultrasound guided paramedian approach to the epidural space. This approach will use transverse view of the spine utilizing curvilinear low frequency ultrasound probe "Sonosite S nerve" and echogenic 17G tuohy needles " Pajunk TuohySono"
The investigators believe that this new technique is helpful to get the best anatomic landmark for epidural catheter placement using the real-time ultrasound.
Measurable outcomes:
- Block performance time.
- Block success rate.
- Needle Depth to epidural space
Block success rate will be measured as the rate of cases that will have successful insertion of the epidural catheter using ultrasound guidance and the case is done completely under epidural anesthesia.
All cases that will be converted to general anesthesia will be counted unsuccessful.
Other measurable outcome data that will be collected will include needle depth to the epidural space, and ultrasound measured depth to the lamina
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult Patients 30 to 80 years old at time of surgery.
- •Patients in whom epidural anesthesia is planned to be used as the for surgery " Surgical epidural"
排除标准
- •Current or recent drug abuse (within past 6 months).
- •Allergy to local anesthetics
- •Patient refusal.
研究组 & 干预措施
echogenic 17G tuohy needles " Pajunk TuohySono
Epidural will be placed with the aid of ultrasound and echogenic 17G Tuohy needles (Pajunk TuohySono).
干预措施: epidural needle placement with echogenic 17G Tuohy needles (Pajunk TuohySono) (Other)
standard epidural needles
Epidural will be placed in standard practice with standard needles.
干预措施: standard epidural placement (Other)
结局指标
主要结局
Real-time ultrasound-guided paramedian epidural access:
时间窗: Day 1
Block success rate will be measured as the rate of cases that will have succesful insertion of the epidural catheter using ultrasound guidance and the case is done completely under epidural anesthesia. The aim of this study is to demonstrate the feasibility of a new technique using real time ultrasound guided paramedian approach to the epidural space. This approach will use transverse view of the spine utilizing curvilinear low frequency ultrasound probe "Sonosite S nerve" and echogenic 17G tuohy needles " Pajunk TuohySono"
次要结局
未报告次要终点
研究者
Loran Mounir Solimin, MD
M.D.
The Cleveland Clinic