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A study comparing ultrasound and the traditional method to see which more precisely finds the epidural space depth in patients undergoing lower limb surgery in sitting versus lying position

Comparing precision of ultrasonography assisted lumbar epidural space depth measurement against loss of resistance in sitting versus lateral position in lower limb surgeries - A randomised controlled trial - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/09/094094
Enrollment
70
Registered
2025-09-02
Start date
Unknown
Completion date
Unknown
Last updated
2025-09-15

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: Comparing precision of ultrasonography assisted lumbar epidural space depth measurement against loss of resistance in sitting versus lateral position in lower limb surgeries.: Group S (

Sponsors

Kalinga Institute of Medical Sciences
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients of either sex of age 18-80 2. Patients under American Society of Anesthesiology (ASA) grade I-III. 3. Patients scheduled for lower limb surgeries under epidural anesthesia.

Exclusion criteria

Exclusion criteria: 1. Informed refusal by the patient 2. Infection at the Injection Site 3. Uncorrected hypovolemia or shock leading to profound hypo tension following sympathetic blockade. 4. Severe coagulopathy or anticoagulation which includes : -INR greater than 1.4 -Platelet count less than 80,000/micro liter -Recent use of heparin, warfarin, NOACs (e.g., apixaban, rivaroxaban) 5. Raised intracranial pressure (especially with mass lesion) 6. Allergy to local anesthetics or adjuvants. 7. Severe spinal deformities. 8. Progressive neurological diseases.

Design outcomes

Primary

MeasureTime frame
Difference in precision of depth of epidural space measured by USG-assisted and loss of resistance methods in sitting versus lateral position.Timepoint: Depth of epidural space measured by USG-assistance assessed at baseline and by loss of resistance in sitting or lateral position assessed within 15 minutes of patient in-time (intra-operatively).—

Secondary

MeasureTime frame
NILTimepoint: NIL—

Countries

India

Contacts

Public ContactDr Anjali Kumari

Kalinga Institute of Medical Sciences

gasdoc2001@yahoo.com8779478574

Outcome results

None listed

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