Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Preprocedural ultrasound assisted subarachnoid block in patients age 50 years or above by standard paramedian approach: Subarachnoid block shall be given by standard paramedian approach
Sponsors
Dr Anu
Eligibility
Inclusion criteria
Inclusion criteria: Patients 50 year or above posted for infra umbilical surgery and willing to participate in study
Exclusion criteria
Exclusion criteria: Patients refusal for spinal anaesthesia or unwilling to participate in the study Patients allergic to local anaesthetics Local infection or scarring at the site of needle insertion Patients with spinal deformities congenital or acquired and previous spine surgery Any history of bleeding disorders Any complication or adverse events during previous surgery under spinal anaesthesia Patients with morbid obesity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of number of attempts in standard paramedian approach needle insertion 1cm lateral and 1cm caudal to spinous process and modified paramedian approach with entry point 1cm lateral to spinous process Timepoint: 0 minute | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Comparison of Preprocedural ultrasound measured depth for needle insertion for spinal anaesthesia and actual depth of needle insertion while administration of spinal anaesthesia using standard paramedian approach and modified paramedian approach 2. Comparison of first attempt success rate in both paramedian groups 3.Comparison of incidence of bloody tap in both groups 4.Comparison of incidence of paraesthesia in both groups 5.Comparison of incidence of post rural puncture headache in both groups within 24 hours postoperativelyTimepoint: Baseline | — |
Countries
India
Contacts
Public ContactDr Arti Sharma
Indira Gandhi Medical College Shimla
Outcome results
None listed