Comparison of success between novel technique and conventional technique for more effectively blocking nerves in the spinal cord and pain relief for orthopaedic surgeries

Comparison of success of single space with two insertion points ( a novel technique) and conventional double space technique for combined spinal epidural anaesthesia(CSEA) :A randomised prospective study - nil

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/10/074701

Enrollment

Registered

2024-10-03

Start date

Unknown

Completion date

Unknown

Last updated

2024-10-14

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Group Single Space(Group SS) novel technique: Desired intervertebral spaces palpated and selected. Local anesthetic given in deserved intervertebral space. 18G Epidural tuohy needle an

Eligibility

Inclusion criteria

Inclusion criteria: Age group 18 – 75 years undergoing lower limb surgeries requiring CSE ASA (American Society of Anaesthesiologists) physical status I or II

Exclusion criteria

Exclusion criteria: Refusal of consent Patients with known allergies to local anaesthetics or study drugs. Local site infection Patients with known bleeding disorders or coagulopathy Patients with severe cardiac,respiratory, renal and liver diseases Patients with spinal deformities

Design outcomes

Primary

Measure	Time frame
To compare the success rate of Dura puncture in the single space with two insertion points ( a novel technique) and conventional double space technique in adults undergoing lower limb orthopaedic surgeries. To assess the incidence of epidural catheter shearing in both techniques Timepoint: 2 years	—

Secondary

Measure	Time frame
Total time taken in both the procedures i.e defined as the time taken from the introduction of local anaesthesia to the appearance of CSF in the hub of spinal needle (T1) And time for successful spinal (T2) Number of attempts for successful epidural and spinal in both techniques Number of manipulations required while performing the technique The incidence of feel of metallic resistance in the single space (SS group) and movement or migration of catheter in SS group Patient satisfaction Timepoint: 2 years	—

Measure

Time frame

Total time taken in both the procedures i.e defined as the time taken from the introduction of local anaesthesia to the appearance of CSF in the hub of spinal needle (T1) And time for successful spinal (T2) Number of attempts for successful epidural and spinal in both techniques Number of manipulations required while performing the technique The incidence of feel of metallic resistance in the single space (SS group) and movement or migration of catheter in SS group Patient satisfaction Timepoint: 2 years

—

Countries

India

Contacts

Public ContactDr Archana V Shetty

All India Institute of Medical Sciences

drgpd@yahoo.com9013232965

Outcome results

None listed

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