Determination of Optimal Angles of Entry at Three Lowest Thoracic Vertebrae Using Fixed Distance from Midline for Performance of Thoracic Epidurals by Paramedian Approach with Landmark Technique – A Comparative Pilot Study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Angle of entry of epidural needle at T10–T12 vertebral levels using fixed midline distance
研究概览
简要总结
This is a prospective observational pilot study conducted to determine the optimal angles of epidural needle entry at the three lowest thoracic vertebral levels using a fixed distance from the midline. The study uses the paramedian approach guided by landmark technique. Adult patients undergoing elective thoracic surgery will be included. The primary aim is to evaluate the angle of entry and compare the values at T10, T11, and T12 levels. Secondary outcomes include number of attempts, complications, and time taken for epidural placement.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients undergoing elective thoracic surgery requiring thoracic epidural analgesia
- •ASA Physical Status I and II
- •Patients who provide written informed consent.
排除标准
- •Patient refusal
- •Infection at site of injection
- •Coagulopathy or on anticoagulants
- •Spine deformity or prior thoracic spine surgery
- •Allergy to local anesthetics.
结局指标
主要结局
Angle of entry of epidural needle at T10–T12 vertebral levels using fixed midline distance
时间窗: Angle of entry of epidural needle at T10–T12 vertebral levels using fixed midline distance
次要结局
- Number of attempts required for successful epidural placement(Intraoperative Assessment)
研究者
Dr Madhav Aghi
School of Medical Sciences and Research Sharda University