"Efficacy of Real Time Ultrasound-Guided (Paramedian Cross View) Versus Conventional Landmark Technique for Thoracic Epidural Anesthesia in Patients Undergoing Major Abdominal Surgeries: A Prospective Randomized Trial"
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- To assess the first-pass success rate of real-time ultrasound-guided MTE catheter placement using the paramedian cross (PX) view as compared to conventional landmark technique in patients undergoing major abdominal surgery.
研究概览
简要总结
Patients will be divided into 2 groups. Both groups will undergo thoracic epidural anaesthesia using the saline infusion loss of resistance technique.
Group I: Thoracic epidural anaesthesia using real time ultrasound guided technique in paramedian cross view.
Group II: Thoracic epidural anaesthesia in the conventional landmark technique using the paramedian approach.
All the USG epidural catheter placements will be performed inside the operating room (OR). Upon arrival in the OR, standard American Society of Anesthesiology (ASA) monitoring will be initiated
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients posted for major abdominal surgery Age group between 18-60 years ASA physical status I-III Able and willing to provide written and informed consent.
排除标准
- •Refusal to give consent •Lack of ability to cooperate or comprehend the study protocol •Inability to maintain follow up or assess outcomes.
结局指标
主要结局
To assess the first-pass success rate of real-time ultrasound-guided MTE catheter placement using the paramedian cross (PX) view as compared to conventional landmark technique in patients undergoing major abdominal surgery.
时间窗: The primary outcome will be assessed immediately at the end of the procedure after successful catheter placement
次要结局
- To evaluate & compare additional procedural parameters including - time for preparation, Time for insertion, Number of attempts, Number of needle redirections, Requirement for change of intervertebral space. Incidence of complications such as dural puncture, intravascular placement, catheter displacement, Postoperative outcomes including back pain and(Overall success rate)
研究者
Dr Tejas Krishna
All India Institute of Medical Sciences, Rishikesh