Health Condition 1: null- patients undergoing surgery under spinal epidural anaesthesia
Conditions
Interventions
Intervention1: nil: nil
Intervention2: Ultrasound: Ultrasound guided CSE in TKR patients
Control Intervention1: Landmark: Conventional landmark technique for TKR patients
Sponsors
Dr BL Kapur superspeciality hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1 Elective TKA â??CSE 2 50-75 years of age 3 ASA grade I - III
Exclusion criteria
Exclusion criteria: 1 Patients refusal 2 Patients belonging to ASA >= IV 3 Patients with contraindications for central neuraxial block - past history of spine surgery, infection focus at back, raised intracranial pressure and coagulopathy 4 Patients on anticoagulants or antiplatelet drugs 5 Patients with H/O allergy to the local anaesthetic
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Number of attempts required for block in the same space 2. Number of inter-vertebral space changes required for the block 3. The depth at which epidural space was actually achieved versus that estimated with the pre-procedure ultrasound will be compared (In US group only Timepoint: All the primary outcomes will be assessed while doing the procedure i.e. during the ultrasound scanning and immediately after putting a successful CSE | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Total duration of the procedure 2. Incidence of dural puncture in both the groups Timepoint: All the secondary outcomes will be assessed while doing the procedure i.e. during the ultrasound scanning and immediately after putting a successful CSE. | — |
Countries
India
Contacts
Public ContactUmesh Kumar Valecha
Dr BLK Superspeciality Hospital
Outcome results
None listed