Assessment of the Accuracy of the Manual Palpation of Surface Landmarks Versus Ultrasound for Identification of the Correct Intervertebral Space for Spinal Anesthesia in Children Less Than 1 Year of Age
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Intended Interspace
研究概览
简要总结
Although the current standard for lumbar puncture and spinal anesthesia is the use of manual palpation of surface landmarks to identify the correct interspace, performance of the procedure at too high of a level may increase the incidence of adverse effects. The current study will evaluate the efficacy of ultrasound in identifying the correct intervertebral space for lumbar puncture thereby improving the safety of the procedure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- — 至 12 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients less than 1 year of age scheduled for spinal anesthesia for elective lower abdominal, urologic, or lower extremity surgery at Nationwide Children's Hospital
排除标准
- •Parents unwilling for their children to undergo spinal anesthesia for surgery.
- •Children with known spinal anomalies including sacral dimple.
- •Children with coagulation abnormalities or receiving anticoagulation which precludes the use of spinal anesthesia.
- •Children with superficial or deep infections over the spine which precludes the use of spinal anesthesia.
结局指标
主要结局
Intended Interspace
时间窗: Immediately prior to spinal anesthesia
The vertebral interspace that the anesthesia provider believes that they had marked \& identified by manual palpation
Actual Interspace of Provider's Mark
时间窗: Immediately prior to spinal anesthesia
The actual vertebral interspace that the anesthesia provider marked \& identified, as verified by ultrasound.
次要结局
- Time to Mark(Immediately prior to spinal anesthesia)
- Time to Conduct Ultrasound(Immediately prior to spinal anesthesia)
- Level of Conus Medullaris - Sitting(Immediately prior to spinal anesthesia)
研究者
Giorgio Veneziano
Associate Professor of Clinical Anesthesiology and Pain Medicine
Nationwide Children's Hospital