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

Active, not recruiting

Conditions: Malignant neoplasms of digestive organs, (2) ICD-10 Condition: O||Medical and Surgical,

Registration Number: CTRI/2023/08/056737

Lead Sponsor: AIIMS RISHIKESH

Brief Summary: This prospective, randomized clinical trial will be conducted in the Department of Anaesthesia and Intensive Care, AIIMS Rishikesh with the aim to compare the efficacy of real-time US-guided epidural catheter placement with the conventional landmark technique in patients undergoing major abdominal surgery.

The primary objective is**t**o compare the first attempt success rate in a real-time ultrasound-guided epidural placement group with conventional landmark epidural catheter placement. In Group 1 32 patients receive epidural insertion using conventional landmark technique and 32 patients in Group 2 undergo real-time ultrasound-guided epidural insertion. The first pass success rate is compared in both the groups. All patients will be assessed till 24 hours. Post-operative pain relief, complication, incidence of back pain will also be compared in both the groups.

Detailed Description: Not available

Recruitment & Eligibility

Status: Closed to Recruitment of Participants

Sex: All

Target Recruitment: 64

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 rate	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	1.Time for insertion

Trial Locations

Locations (1): AIIMS RISHIKESH
🇮🇳
Dehradun, UTTARANCHAL, India
AIIMS RISHIKESH
🇮🇳Dehradun, UTTARANCHAL, India
Dr Arun Jagath A S
Principal investigator
9717828974
jagath9717@gmail.com