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Study intend to find out the efficacy of inserting epidural catheter using real time ultrasound over the conventional landmark technique in patients undergoing major abdominal surgeries

The efficacy of real time ultrasound guided epidural catheter placement over conventional landmark technique in patients undergoing major abdominal surgeries - a prospective randomized Study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/08/056737
Enrollment
64
Registered
2023-08-22
Start date
Unknown
Completion date
Unknown
Last updated
2024-12-09

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

Conditions

Health Condition 1: C15-C26- Malignant neoplasms of digestive organs Health Condition 2: O- Medical and Surgical

Interventions

Intervention1: Epidural catheter insertion using Real time ultrasound.: In the intervention group, Thoracic epidural will be inserted using Real time ultrasound guidance. Control Intervention1: Epidur

Sponsors

AIIMS RISHIKESH
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: ASA physical status I-III Age group between 18-60 years BMI Patient posted for abdominal surgeries with anticipated midline or supraumbilical incision of length at least 5 cm

Exclusion criteria

Exclusion criteria: Patients with Local infection at the epidural insertion site Coagulopathy Sepsis or septic shock Obesity (BMI >30) Allergy to local anaesthetics/opioids Severe systemic disease ( ASA IV an d above) Presence of spinal deformity History of prior thoracic spine surgery Laparoscopic surgeries Any other absolute or relative contraindications for epidural catheter placement Refusal to give consent Inability to cooperate or understand the study protocol

Design outcomes

Primary

MeasureTime frame
First attempt Success rateTimepoint: At the time of insertion of epidural catheter prior to surgery—

Secondary

MeasureTime frame
Comparison of the following parameters in both group 1. Time for insertion 2. Time for preparation 3. Number of attempts 4. Change of Space 5. Number of needle redirection 6. Complications pertaining to epidural placement a) Intravascular placement b) Dural puncture c) Catheter displacement 7. Post-operative back pain 8. Postoperative pain scores 4 hrly for 24 hours 9. Dosage of rescue analgesia given in 24 hours 10. Any other complications ( including nausea , vomiting , hypotension) in postoperative period Timepoint: Within 24 hours post operatively—

Countries

India

Contacts

Public ContactDR PRAVEEN TALAWAR

ALL INDIA INSTITUTE OF MEDICAL SCIENCES, RISHIKESH

jagath9717@gmail.com9717828974

Outcome results

None listed

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