Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Ultrasound assissted Central Neuraxial block: In this study, we are proposing to compare ultrasound assisted versus landmark guided central neuraxial block. The neuraxial block, a mode
Sponsors
Department of Anaesthesiology, Pain Medicine and Critical Care
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients age more than 18 years Patients scheduled for surgeries under lower thoracic and lumbar neuraxial block. Patients of American Society of Anesthesiologists (ASA) status 1 or 2 BMI less than 35kg/m2
Exclusion criteria
Exclusion criteria: Exclusion Criteria: 1. Refusal by Patients 2. Previous thoracic or lumbar spine injury 3. Existing spine deformity 4. Known allergy to local anaesthetics. 5. Local site infection 6. Bleeding diathesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of this randomized controlled trial is to compare the first-attempt success rates of lower thoracic and lumbar neuraxial blocks performed using ultrasound-assisted Transverse process line (TPL) guidance versus those performed using the traditional palpation method.Timepoint: The outcomes of the study will be assessed at the time of central neuraxial block procedure. Central neuraxial block will be given before the surgery. There are no follow ups in this study. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Number of Attempts: This refers to the total number of times the needle is inserted through the skin with the intention of reaching the neuraxial space. Each new penetration of the skin after withdrawal of the needle constitutes a new attempt. 2) Number of Needle Redirections: This denotes the number of times the direction or angle of the needle is adjusted while it remains under the skin, in an attempt to correctly position it within the neuraxial space. 3) To identify association between depth of neuraxial space & depth of transverse process. Timepoint: The outcomes of the study will be assessed at the time of central neuraxial block procedure. Central neuraxial block will be given before the surgery. There are no follow ups in this study. | — |
Countries
India
Contacts
Public ContactAshwin M
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed