Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: ultrasound guided subarachnoid block: L3-L4 inter vertebral space will be identified using ultrasound and pre-determined point of entry for the needle will be marked on patient’s back.0
Sponsors
lady hardinge medical college
Eligibility
Inclusion criteria
Inclusion criteria: Patients for elective cesarean delivery as categorized by RCOG (Royal College of Obstetricians and Gynaecologists) in categories III and IV
Exclusion criteria
Exclusion criteria: any contraindications of spinal anaethesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the accuracy (in terms number of patients having successful needle first pass attempt) of pre-procedural ultrasound and conventional landmark method for locating subarachnoid space in patients undergoing cesarean delivery under spinal anaesthesiaTimepoint: free flow of CSF in single attempt(time noted in seconds) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 To compare ultrasound depth of subarachnoid space with real needle to target distance in ultrasound group 2 Number of successful needle first pass attempt in patients of various BMI 3 Number of needle redirections 4 Number of skin punctures required 5 Number of attempted intervertebral spaces 6 Total procedure time 7 Patient satisfaction using five point Likert scale after 24 hours postoperatively 8 Complications such as headache backache incidence of bloody tapTimepoint: 1 measure of target distance in ultrasound to free flow of CSF in the spinal needle hub 2 free flow of CSF 3 free flow of CSF 4 free flow of CSF 5 free flow of CSF 6 free flow of CSF 7 free flow of CSF in the spinal needle hub to 24 hours post operatively 8 free flow of CSF in the spinal needle hub to 24 hours post operatively | — |
Countries
India
Contacts
Public ContactDr Anshu Gupta
Lady hardinge medical college and associated hospitals , New Delhi
Outcome results
None listed