Effectiveness of Two Ultrasound-Guided Anesthesia Techniques in Elderly Patients Undergoing Lower Abdominal Surgery

A Comparative Study of Ultrasound assisted vs Real time Ultrasound guided Combined Spinal Epidural Anaesthesia via Paramedian approach in Elderly patient - A Prospective Randomised Controlled Study - NIL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/04/107343

Enrollment

100

Registered

2026-04-01

Start date

Unknown

Completion date

Unknown

Last updated

2026-04-27

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

Conditions

Health Condition 1: N401- Benign prostatic hyperplasia withlower urinary tract symptoms Health Condition 2: C601- Malignant neoplasm of glans penis Health Condition 3: K402- Bilateral inguinal hernia, withoutobstruction or gangrene Health Condition 4: K412- Bilateral femoral hernia, withoutobstruction or gangrene

Interventions

Intervention1: Ultrasound guided Combined Spinal Epidural Anaesthesia via paramedian approach: Combined spinal epidural anaesthesia via paramedian approach under Ultrasound guidance will be performed

Eligibility

Inclusion criteria

Inclusion criteria: Age more than equal to 60 years of both sexes having ASA status I,II,III undergoing elective infraumbilical surgery

Exclusion criteria

Exclusion criteria: Patient unwilling to participate , Pregnant and obstetric patient , spinal deformities , coagulopathies , local infection , patients with deranged renal or liver profile and cardiac disease , contraindication to neuraxial blockade

Design outcomes

Primary

Measure	Time frame
To compare and analyze first puncture success rate in Ultrasound assisted vs Real time ultrasound groupTimepoint: T0: Time of insertion of needle. T1: Time of access to epidural space in seconds.	—

Secondary

Measure	Time frame
1. To study the best puncture angle and best puncture depth 2. Number of attempts taken 3. Time taken to accomplish 4. Patient comfortTimepoint:	—

Countries

India

Contacts

Public ContactRahul Kumar Saha

Rajendra Institute of Medical Sciences

dr.tushar.kumar@gmail.com9472758699

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 1, 2026