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临床试验/ChiCTR1900021592
ChiCTR1900021592尚未招募4 期

Real-time Ultrasound Guided Spinal Anaesthesia: Comparison of the Transverse Interspinous In-plane and Paramedian Saggital Oblique In-plane Injection Techniques

香港中文大學威爾斯親王醫院麻醉與重症監護部1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2019年4月8日最近更新:

试验速览

阶段
4 期
状态
尚未招募
发起方
入组人数
40
试验地点
1
主要终点
CSF efflux time

研究概览

简要总结

The objective of this prospective, randomized study is to compare the cerebrospinal fluid (CSF) efflux time using either the traditional paramedian spinal anaesthesia using the Paramedian sagittal oblique (PMSO) window from the non-dependent side, or the transverse in-plane dependent (TIPD) technique from the dependent side, with the patient in the lateral decubitus position.

研究设计

研究类型
Interventional
主要目的
随机平行对照
盲法
Double

入排标准

年龄范围
20 至 85(—)
性别
All

入选标准

  • Adult patients, American Society of Anesthesiologists (ASA) physical status I-III, age between 20 to 85 years, and patients scheduled to undergo elective groin, lower limb, lower abdominal gynaecological and urogenital surgery under spinal anesthesia.

排除标准

  • Patient refusal or unwilling to participate in the study, ASA physical status > Ⅲ, spinal deformity, previous spine surgery, pregnancy, coagulopathy, allergy to local anesthetic drugs,
  • skin infection at the site of needle insertion, severe Cardiac disease like atrial stenosis, atrial fibrillation, ongoing ischemic heart disease, autonomic dysfunction, and sepsis

研究组 & 干预措施

PMSO group

Perform real-time ultrasound guided spinal anaesthesia by scanning from PMSO approach

TIPD group

Perform real-time ultrasound guided spinal anaesthesia by scanning from TIPD approach

结局指标

主要结局

CSF efflux time

时间窗: after the insertion of the spinal needle during spinal anaesthesia

次要结局

  • Time taken to perform spinal anaesthesia(right after spinal anaesthesia)
  • number of needle insertion and redirection attemtps(during spinal anaesthesia)
  • successful spinal anaethesia(the end of operation)

研究者

发起方
香港中文大學威爾斯親王醫院麻醉與重症監護部

研究点 (1)

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