Comparing the paramedian approach versus the modified paramedian approach in performing spinal anesthesia in terms of ease of performing the procedure and patient satisfaction after surgery

Comparative Evaluation of Paramedian Approach versus Modified Paramedian Approach in Spinal Anesthesia Administration: A Study on Procedural Ease and Patient Satisfaction in Surgical Procedures

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20161220031487N10

Enrollment

112

Registered

2024-09-06

Start date

2024-07-09

Completion date

Unknown

Last updated

2024-09-16

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

Conditions

Spinal anesthesia technique. Other complications of anesthesia

Interventions

Intervention 1: Intervention group: The patients who are going to undergo spinal anesthesia using the modified paramedian method will be called the MP group. In this group, the patients will be placed

The needle will be guided 1 cm outside and 1 cm below the spinous appendage of the desired space with an angle of 10 to 15 degrees upwards and inside.

Eligibility

Sex/Gender

All

Age

18 Years to 70 Years

Inclusion criteria

Inclusion criteria: Patients who need spinal anesthesia Age group: 18 to 70 years old Physical status according to ASA classification classes I, II, and III

Exclusion criteria

Exclusion criteria: Patients with contraindications to spinal anesthesia presence of infection at the site of spinal anesthesia injection, Lack of personal consent, Obesity with BMI > 38 kg/m2, Uncontrolled type 1 and 2 diabetes mellitus, Uncontrolled hypertension history, Moderate to severe valvular heart diseases, Neurological and psychiatric disorders such as stroke, history of brain lesions, obsessive-compulsive disorder, and schizophrenia, Fever exceeding 37.5 degrees Celsius at the beginning of the surgery, History of alcohol consumption, drug abuse, or misuse of sedatives-hypnotics and glucocorticosteroids,

Design outcomes

Primary

Measure	Time frame
Ease of performing the spinal anesthesia procedure. Timepoint: After performing the technique, by a person who is unaware of the study process; The relevant expert will be asked about the degree of difficulty of the process. Method of measurement: questionnaire.;Patient satisfaction after surgery. Timepoint: After performing the technique, at the beginning of the surgery, at the end of the surgery, at the beginning of the patient's entry into recovery and at the time of the patient's discharge from the recovery department, the patient will be asked about the patient's satisfaction with the anesthesia process by a person who is unaware of the study process. Method of measurement: questionnaire.	—

Measure

Time frame

Ease of performing the spinal anesthesia procedure. Timepoint: After performing the technique, by a person who is unaware of the study process; The relevant expert will be asked about the degree of difficulty of the process. Method of measurement: questionnaire.;Patient satisfaction after surgery. Timepoint: After performing the technique, at the beginning of the surgery, at the end of the surgery, at the beginning of the patient's entry into recovery and at the time of the patient's discharge from the recovery department, the patient will be asked about the patient's satisfaction with the anesthesia process by a person who is unaware of the study process. Method of measurement: questionnaire.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactMehrdad Mesbah Kiaee

Iran University of Medical Sciences

dr.mmesbah@gmail.com+98 21 81161

Outcome results

None listed

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