Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach
研究概览
简要总结
This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will perform orthopedic surgery
- •Physical state I or II according to ASA classification
- •Age between (18 - 50 )
- •Body mass index less than 30
排除标准
- •Patient refusal .
- •Local infection at the puncture site .
- •Allergy to any of the drugs to be administrated .
- •Old age patients
- •Obese patients
- •Previous spinal surgery .
- •Spinal stenosis .
- •Multiple sclerosis .
- •Coagulopathy.
- •Hypovolemia .
- •Systemic infection .
- •Aortic stenosis .
- •Spina bifida and back deformity .
研究组 & 干预措施
Group (1): spinal anesthesia with median approach
patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques
干预措施: Group (1): spinal anesthesia with median approach (Procedure)
Group (2): spinal anesthesia with paramedian approach
patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques
干预措施: Group (2): spinal anesthesia with paramedian approach (Procedure)
结局指标
主要结局
The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach
时间窗: 24 hours, 72 hours, and 1 week after spinal anesthesia.
pain measurement by numerical rating scale (NRS)
次要结局
未报告次要终点
研究者
Areej Mohamed Abdelkader
Resident, Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Sohag University
Sohag University