Health Condition 1: 2- Placement
Conditions
Interventions
Intervention1: Ultrasound guided Thoracic epidural analgesia: Ultrasound Guided Thoracic Epidural Anesthesia is given using the paramedian cross view
Control Intervention1: Conventional landmark guide
Sponsors
All India Institute of Medical Sciences Rishikesh
Eligibility
Inclusion criteria
Inclusion criteria: Patients posted for major abdominal surgery Age group between 18-60 years ASA physical status I-III Able and willing to provide written and informed consent
Exclusion criteria
Exclusion criteria: •Refusal to give consent •Lack of ability to cooperate or comprehend the study protocol •Inability to maintain follow up or assess outcomes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the first-pass success rate of real-time ultrasound-guided MTE catheter placement using the paramedian cross (PX) view as compared to conventional landmark technique in patients undergoing major abdominal surgery.Timepoint: The primary outcome will be assessed immediately at the end of the procedure after successful catheter placement | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate & compare additional procedural parameters including - time for preparation, Time for insertion, Number of attempts, Number of needle redirections, Requirement for change of intervertebral space. Incidence of complications such as dural puncture, intravascular placement, catheter displacement, Postoperative outcomes including back pain and Overall success rate Timepoint: All secondary outcomes will be measured at the time of procedure, except postoperative back pain which will be assessed at 24hrs. | — |
Countries
India
Contacts
Public ContactDr Praveen Talawar
All India Institute of Medical Sciences, Rishikesh
Outcome results
None listed