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临床试验/NCT03491943
NCT03491943已完成不适用

Midline Versus Paramedian Approaches for Ultrasound-assisted Spinal Anesthesia: a Randomized Controlled Trial

Seoul National University Hospital2 个研究点 分布在 1 个国家目标入组 112 人开始时间: 2018年4月27日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
112
试验地点
2
主要终点
the number of needle passes

研究概览

简要总结

Ultrasound has emerged as an useful tool for neuraxial blockade. The aim of this study is to compare the efficacy and safety between the midline approach and paramedian approach for ultrasound-assisted spinal anesthesia in adult patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Triple (Participant, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Adult patients scheduled to undergoing elective orthopedic surgery under spinal anesthesia, with ASA physical status classification I, II, III

排除标准

  • Patients with contraindication to spinal anesthesia (coagulopathy, local infection, allergy to local anesthetic)
  • Patients with morbid cardiac diseases
  • Pregnancy
  • Patients with previous history of lumbar spinal surgery
  • Patients with anatomical abnormality of lumbar spine

结局指标

主要结局

the number of needle passes

时间窗: Intraoperative (from the first insertion of needle to patient's skin, until the completion of spinal anesthetic injection)

the number of forward advancements of the spinal needle in a given interspinous space, i.e., withdrawal and redirection of spinal needle without exiting the skin

次要结局

  • Number of spinal needle insertion attempts(Intraoperative (from the first insertion of needle to patient's skin, until the completion of spinal anesthetic injection))
  • Incidence of radicular pain, paraesthesia, and blood tapping in the spinal needle(Intraoperative (from the first insertion of needle, until the completion of spinal anesthetic injection))
  • Time for identifying landmarks(intraoperative (time taken for establish the landmark, from start of US scanning to completion of scanning)
  • Time taken for performing spinal anesthetic(Intraoperative (from insertion of the needle to the completion of injection))
  • dermatome level of sensory block(20 minutes after the completion of spinal anesthetic injection)
  • Periprocedural pain(Patients will be asked immediately after the completion of spinal anesthesia)
  • Periprocedural discomfort score(Patients will be asked immediately after the completion of spinal anesthesia)
  • Patient satisfaction score of spinal anesthesia procedure(Patients will be asked immediately after the completion of spinal anesthesia)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Jin-Tae Kim

Professor

Seoul National University Hospital

研究点 (2)

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