In this study a comparison is made between Conventional approach (L2L3 or L3L4, median route) & Taylors approach, (L5S1, paramedian route) of Spinal anaesthesia.

Phase 4

Not yet recruiting

• Conditions: Other specified noninflammatory disorders of vagina,

• Registration Number: CTRI/2020/01/023045
• Lead Sponsor: DR HARI CHARAN

Brief Summary

Neuraxial anaesthesia is an indispensable and most commonly performed regional anaesthesia in modern anaesthetic pratice. It results in temporary interruption of nerve transmission within the subarachanoid space.

An increasing proportion of of the patients undergoing gynaecological surgeries are elderly. Advancing age results in anatomical irregularities such as reduction in the number of neurons, deterioration of myelin sheaths, sclerotic closure of of the intervertebral foramens etc. Functional reserve and ability to compensate for physiological stresses are reduced. Spinal anaesthesia is more advantageous in these patients.

Taylor’s approach which involves giving spinal anaesthesia through L5S1 intervertebral space via paramedian route encompasses less technical problems as compared to midline approach as it avoids the supraspinous and and interspinous  ligaments. Also there are least haemodynamic changes as compared to conventional approach(L2L34and L3L4 space).

Detailed Description

Not available

Study Timeline

• Study Start: 2020-01-02
• Last Update Posted: 2020-01-27

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• ASA physical status 1 or 2.
• Patients who give valid informed written consent.
• Patients scheduled for bow umbilicus gynaecological surgery.

Exclusion Criteria

• Lack of valid informed written consent.
• Infection at the subarachanoid block injection site.
• Patients with neurological and musculoskeletal disease.
• Patients with bleeding disorders.
• History of allergy to local anaesthetic.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Number of attempts and time taken for lumbar puncture.	0, 5 minutes, 10 minutes, 30 minutes, 50 minutes, 70minutes, 90 minutes and 110minutes.
2. Incidence of hypotension.	0, 5 minutes, 10 minutes, 30 minutes, 50 minutes, 70minutes, 90 minutes and 110minutes.
3. Incidence of bradycardia.	0, 5 minutes, 10 minutes, 30 minutes, 50 minutes, 70minutes, 90 minutes and 110minutes.

Secondary Outcome Measures

Name	Time	Method
1. Conversion rate to general anaesthesia.	0,5 minutes, 10 minutes, 30 minutes, 50 minutes, 70 minutes, 90 minutes and 110 minutes.

Trial Locations

Locations (1)

Kamla Nehru Hospital, Shimla (HP); 🇮🇳 Shimla, HIMACHAL PRADESH, India

Kamla Nehru Hospital, Shimla (HP)

🇮🇳Shimla, HIMACHAL PRADESH, India

Dr Hari Charan

Principal investigator

9418044409

drhariuppal@yahoo.com