To compare different approaches for spinal anaesthesia in adults undergoing elective surgery

Comparison of Ultrasound guided median approach and paramedian approach with landmark guided median approach for spinal anaesthesia in adult patients undergoing elective surgery

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2022/02/040371

Enrollment

162

Registered

2022-02-17

Start date

Unknown

Completion date

Unknown

Last updated

2022-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: B- Imaging Health Condition 2: 8- Other Procedures

Interventions

Intervention1: Ultrasound guided paramedian approach with ultrasound guided median approach for spinal anaesthesia: We compare between different techniques of spinal anaesthesia i.e ultrasound guided

Eligibility

Inclusion criteria

Inclusion criteria: 1)American society of anaesthesiologist physical status I/II/III. 2)Age 18 to 65years 3)BMI of 35kg/m2 or less

Exclusion criteria

Exclusion criteria: 1) History of previous spinal surgery. 2) Infection at puncture site. 3) Coagulopathy. 4) Pre-existing neurological deficit. 5) Allergy to local anesthetics or any other contraindication to neuraxial blocks. 6) Patients having cardiac/renal diseases.

Design outcomes

Primary

Measure	Time frame
To compare the number of spinal needle insertion attempts in patients receiving spinal anaesthesia using ultrasound guided median and paramedian approach with landmark guided median approach in adult patients undergoing elective surgery.Timepoint: At the time of giving anaesthesia i.e. at zero minutes ,we compare number of times the spinal needle was withdrawn from the skin and reinserted in different approaches i.e. ultrasound guided paramedian approach with ultrasound guided median approach with landmark guided median approach of spinal anaesthesia in adult undergoing the elective surgery	—

Measure

Time frame

To compare the number of spinal needle insertion attempts in patients receiving spinal anaesthesia using ultrasound guided median and paramedian approach with landmark guided median approach in adult patients undergoing elective surgery.Timepoint: At the time of giving anaesthesia i.e. at zero minutes ,we compare number of times the spinal needle was withdrawn from the skin and reinserted in different approaches i.e. ultrasound guided paramedian approach with ultrasound guided median approach with landmark guided median approach of spinal anaesthesia in adult undergoing the elective surgery

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Secondary

Measure	Time frame
1) Number of spinal needle passes. 2) Time taken to identify landmarks. 3) Time taken for performing spinal anaesthesia. 4) Depth of insertion of spinal needle to reach subarachnoid space. 5) Adequate dermatome achieved. 6) Incidence of radicular pain, periprocedural pain, paraesthesia and blood taping in the spinal needle. 7) Patient satisfaction score with the block procedure.Timepoint: Parameters will be assessed during induction and intra-operatively.	—

Measure

Time frame

1) Number of spinal needle passes. 2) Time taken to identify landmarks. 3) Time taken for performing spinal anaesthesia. 4) Depth of insertion of spinal needle to reach subarachnoid space. 5) Adequate dermatome achieved. 6) Incidence of radicular pain, periprocedural pain, paraesthesia and blood taping in the spinal needle. 7) Patient satisfaction score with the block procedure.Timepoint: Parameters will be assessed during induction and intra-operatively.

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Countries

India

Contacts

Public ContactKapil Gupta

Vardhman Mahavir Medical college and Safdarjung hospital

kapgup11@yahoo.co.in9811859019

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026