Comparison of contralateral oblique view with lateral view for mid-thoracic epidural access

Not Applicable

Completed

• Conditions: Symptoms, signs and abnormal clinical and laboratory findings, NEC

• Registration Number: KCT0004926
• Lead Sponsor: Asan Medical Center

Brief Summary

Seventy-nine patients were included. The first-pass success rate was significantly higher in the CLO group than in the LAT group (68.3% vs 34.2%, difference: 34.1%; 95% CI 13.3 to 54.8; p=0.003). Procedural pain intensity was significantly lower in the CLO group than in the LAT group. Patient satisfaction was significantly greater in the CLO group than in the LAT group. The needling time and the number of needle passes were significantly lower in the CLO group than in the LAT group. Radiation dose in the CLO group was significantly reduced compared with that in the LAT group.

Detailed Description

Not available

Study Timeline

• Study Completion: 2021-03-26
• Results First Posted: 2022-05-01
• Last Update Posted: 6 March 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 79

Inclusion Criteria

1) Patients who mandatorily need mid-thoracic (T4-8) epidural access
2) Patients who undergo thoracic epidural block
3) Patients who undergo thoracic epidural catheter insertion
4) Patients who undergo thoracic blood patch
5) 20 = Age = 79
6) Patients who want to participate in this study and write informed consent voluntarily.

Exclusion Criteria

1) An allergy to local anesthetics and contrast dye, or steroid
2) Coagulopathy, infection at the insertion site
3) Neurological or psychiatric disorders
4) Pregnancy
5) Prior spine instrumentation on the thoracic region
6) Patients who'do not want to participate in this study

Study & Design

• Study Type: Interventional Study
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
First attempt success: achieving the successful epidural access at once without any backward movement of the needle

Secondary Outcome Measures

Name	Time	Method
eedling time: procedural time from the skin puncture to approah the epidural space;Total number of needle passes: First needle pass + additional needle passes;Number of skin punctures;Success or failure: success indicates that the needle approaches the epidural space.;Patient satisfaction for the procedure;Radiation dose;Procedure related complications;Crossover success: achieving successful epidural access by the use of another method if the primary process is failed.;Numeric rating scale during the procedure