Comparison of preprocedural ultrasound aided midline and modified paramedian technique for spinal anaesthesia in elderly patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To compare the two groups with regards to first attempt success rate for subarachnoid block.
研究概览
简要总结
The present study will be conducted in the Department of Anaesthesiology and Critical care, Pt B. D. Sharma, PGIMS, Rohtak, in 80 patients of either sex aged ≥65 years (ASA I,II,III) posted for surgery under spinal anaesthesia. The aim of the study is to compare preprocedural ultrasound aided midline and modified paramedian approach to subarachnoid block in elderly patients. A preprocedural ultrasound scan will be performed and skin marking for spinal entry site will be done using ultrasound scan. Spinal anaesthesia will be performed via midline and modified paramedian (needle insertion point will be 0.5 cm lateral to the right of midline) approach using the skin marking site as entry point. The primary objective of the study is to compare the two groups with regards to first attempt success rate for subarachnoid block. The secondary objectives are to compare the two groups with regard to number of needle passes & skin insertion attempts, time for identifying ultrasound aided landmarks and time for administering spinal anaesthesia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 65.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with age
- •90 years.
- •Patients with ASA physical status classification I, II and III.
- •Patients scheduled to undergo surgery under spinal anaesthesia.
排除标准
- •Patients having contraindication to spinal anaesthesia (coagulopathy, local infection, allergy to local anesthetic).
- •Patients having marked spinal deformity.
- •Patients having history of previous spinal surgery.
- •Patients having BMI≥
- •Patients unwilling to participate.
结局指标
主要结局
To compare the two groups with regards to first attempt success rate for subarachnoid block.
时间窗: At the time of completion of spinal anaesthetic injection.
次要结局
- Number of needle passes(At the time of Completion of spinal anaesthetic injection.)
- Number of skin insertion attempts(At the time of Completion of spinal anaesthetic injection.)
- Time for identifying ultrasound aided landmarks(1. Time at start of identification of Ultrasound aided landmarks.)
- Time for administering spinal anaesthesia(1. Time at initiation of spinal anesthesia.)
研究者
Dr Jatin Lal
Pt. B. D. Sharma PGIMS