A New Technique to Guide Epidural Needle Placement in the Lower Back Using Real-Time Ultrasound and a Saline Drip: A Pilot Study for Safer and Easier Pain Relief

Real - time ultrasound guided lumbar epidural access utilising paramedian cross view and drip infusion method for identifying epidural space - a pilot study - NIL

Status

Active, not recruiting

Phases

Phase 1Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/06/089330

Enrollment

Registered

2025-06-23

Start date

Unknown

Completion date

Unknown

Last updated

2025-07-21

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

Conditions

Health Condition 1: N852- Hypertrophy of uterus

Interventions

Intervention1: Real time ultrasound guided lumbar epidural access: Patient will be made to lie in the prone position. After identifying the inter laminar space using ultrasound, local anaesthetic inje

Eligibility

Inclusion criteria

Inclusion criteria: Patients who require lumbar epidural access for continuous catheter or single shot local anaesthetic administration for anaesthesia or analgesia

Exclusion criteria

Exclusion criteria: Patients with anatomical abnormalities of the spine, infection at the site of injection, sepsis, coagulopathy will be excluded from the study

Design outcomes

Primary

Measure	Time frame
First pass success rateTimepoint: 2 minutes	—

Secondary

Measure	Time frame
First attempt success rateTimepoint: 2 minutes;Number of attemptsTimepoint: 5 minutes;Number of redirectionsTimepoint: 5 minutes;Needle visibilityTimepoint: 5 minutes;Procedural failureTimepoint: 10 minutes;Epidural failureTimepoint: 10 minutes;Needling timeTimepoint: 5 minutes	—

Countries

India

Contacts

Public ContactDr Sivashanmugam T

Mahatma Gandhi Medical College and Research Institute

drsiva95@gmail.com04132615449

Outcome results

None listed

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