Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: midline approach: After applying inclusion and exclusion criteria patients are grouped into paramedian approach or midline approach using randomisation technique
For Patients in midlin
Sponsors
aiims raipur
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged more than 60 years undergoing elective lower abdominal, perineal and lower extremity surgeries under spinal anesthesia ASA physical status 1 2 and 3
Exclusion criteria
Exclusion criteria: Patient refusal Any contraindication of spinal anesthesia like Coagulopathy Hypovolemia Local infection Raised intracranial pressure Unknown neurological disorder Previous history of lumbar spine surgery Anatomical abnormality of lumbar spinelike kyphoscoliosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| first pass success rate in midline and paramedian approach of ultrasound assisted spinal anesthesia in elderly patients undergoing elective lower abdominal, perineal and lower extremity surgeries under spinal anesthesiaTimepoint: Immediately following successful csf tap after providing spinal through the specific ultrasound assisted approach | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare the number of needle passes between midline & paramedian group Compare the number of spinal needle insertion attempts between midline & paramedian group Compare the total procedure time between midline & paramedian group Compare the the incidence of radicular pain , paresthesia , & bloody tap during the neuraxial procedure between midline & paramedian groupTimepoint: Immediately following successful csf tap after providing spinal through the specific ultrasound assisted approach | — |
Countries
India
Contacts
Public ContactDr.mamta sinha
AIIMS RAIPUR
Outcome results
None listed