Study intend to find out the efficacy of inserting epidural catheter using real time ultrasound over the conventional landmark technique in patients undergoing major abdominal surgeries
Not Applicable
- Conditions
- Health Condition 1: C15-C26- Malignant neoplasms of digestive organsHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2023/08/056737
- Lead Sponsor
- AIIMS RISHIKESH
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
ASA physical status I-III
Age group between 18-60 years
BMI < 30 Kg/m2
Patient posted for abdominal surgeries with anticipated midline or supraumbilical incision of length at least 5 cm
Exclusion Criteria
Patients with
Local infection at the epidural insertion site
Coagulopathy
Sepsis or septic shock
Obesity (BMI >30)
Allergy to local anaesthetics/opioids
Severe systemic disease ( ASA IV an d above)
Presence of spinal deformity
History of prior thoracic spine surgery
Laparoscopic surgeries
Any other absolute or relative contraindications for epidural catheter placement
Refusal to give consent
Inability to cooperate or understand the study protocol
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method First attempt Success rateTimepoint: At the time of insertion of epidural catheter prior to surgery
- Secondary Outcome Measures
Name Time Method Comparison of the following parameters in both group <br/ ><br>1.Time for insertion <br/ ><br>2.Time for preparation <br/ ><br>3.Number of attempts <br/ ><br>4.Change of Space <br/ ><br>5.Number of needle redirection <br/ ><br>6.Complications pertaining to epidural placement <br/ ><br>a)Intravascular placement <br/ ><br>b)Dural puncture <br/ ><br>c)Catheter displacement <br/ ><br>7.Post-operative back pain <br/ ><br>8.Postoperative pain scores 4 hrly for 24 hours <br/ ><br>9.Dosage of rescue analgesia given in 24 hours <br/ ><br>10.Any other complications ( including nausea , vomiting , hypotension) in postoperative period <br/ ><br>Timepoint: Within 24 hours post operatively