Sonographic Predictors of Difficult Epidural Placement.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- University of Padova
- Enrollment
- 275
- Locations
- 1
- Primary Endpoint
- Incidence of difficult epidural placement
- Status
- Withdrawn
- Last Updated
- last year
Overview
Brief Summary
Epidural placement is a commonly used procedure for pain management during labor, delivery, and surgeries. However, epidural placement is often considered a technically challenging and complex procedure that requires a high level of skill and experience. In cases where the epidural is improperly placed or fails to produce effective analgesia, the discomfort and distress experienced by the patient may be heightened. Hence, the use of predictors, such as sonographic ones, may prove to be a valuable tool for healthcare professionals in the placement of epidurals, ultimately ensuring successful pain management for patients.
The present study aims to identify predictors of difficult epidural placement in patients undergoing surgery.
Investigators
Alessandro De Cassai
Principal Investigator
University of Padova
Eligibility Criteria
Inclusion Criteria
- •Surgery with epidural placement
- •Age \> 18 years
Exclusion Criteria
- •patient refusal
Outcomes
Primary Outcomes
Incidence of difficult epidural placement
Time Frame: through study completion, an average of 2 year
Described as the requirement to replace the needle by fully removing it from the skin.
Secondary Outcomes
- Height (cm) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Total body weight (kg) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Age (years) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Sonographic skin to spinous process distance(cm) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Anesthesiology experience (years) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Sonographic erector spine muscle group size (cm) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Previous spine surgery (yes, no) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Sonographic skin to transverse process distance (cm) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Palpable spinous process (well, not well, not palpable) as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)
- Sonographic spinous process to spinous process distance (cm)as predictive parameter for difficult epidural placement(through study completion, an average of 2 year)