The efficacy of real time ultrasound guided epidural catheter placement over conventional landmark technique in patients undergoing major abdominal surgeries - a prospective randomized Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- First attempt Success rate
研究概览
简要总结
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 isto 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
First attempt Success rate
时间窗: At the time of insertion of epidural catheter prior to surgery
次要结局
- Comparison of the following parameters in both group(1.Time for insertion)