THE USE OF ASSISTED PRE-PROCEDURAL ULTRASONOGRAPHY VERSUS LANDMARK TECHNIQUE IN IDENITIFYING EPIDURAL SPACE IN WOMEN REQUESTING LABOR ANALGESIA

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

IRCT

Registry ID

IRCT20230819059186N1

Enrollment

250

Registered

2023-08-25

Start date

2023-04-18

Completion date

Unknown

Last updated

2023-10-16

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

Conditions

Labor Analgesia.

Interventions

Intervention 1: Intervention group 1: Patients in Group L followed the standard blind landmark technique for insertion of the epidural catheter in the L4-L5 space under strict aseptic measures in the

Eligibility

Sex/Gender

Female

Age

20 Years to 35 Years

Inclusion criteria

Inclusion criteria: included all ASA I and II patients between 20-35 years of age presenting in labor after achieving term.

Exclusion criteria

Exclusion criteria: patients with history of back pain, surgeries of the spine, on-going medical treatment for backache, patients unwilling to be included in the study, patients with coagulation disorders or on anti-coagulants and BMI greater than 35 kg/m2.

Design outcomes

Primary

Measure	Time frame
Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group. Timepoint: Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group. Method of measurement: The patients were divided into the ultrasonography group (Group U) (n=125) and the landmark group (Group L) (n=125). Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group.	—

Measure

Time frame

Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group. Timepoint: Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group. Method of measurement: The patients were divided into the ultrasonography group (Group U) (n=125) and the landmark group (Group L) (n=125). Primary variables measured were mean number of tries for epidural insertion (taking the needle out and then re-introduction), mean number of needle re-directions (without taking out from skin), difference between actual measured needle length (AML) versus USG measured needle length (UML) and number of dural punctures between the USG and landmark group.

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Countries

Pakistan

Contacts

Public ContactSyed Aqib Ali Shah

Combined Military Hospital Rawalpindi Pakistan

aqibalishahsyed@gmail.com+92 51 9273426

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Sep 2, 2026