Surgical patients scheduled to undergo epidural anesthesia
Conditions
Interventions
Pre-procedure learning using 3D reconstructed CT images (intervention group only): Before performing epidural anesthesia, the anesthesiologist responsible for the procedure reviews the three-dimensio
Sponsors
Institute of Science Tokyo Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Key inclusion criteria Patients scheduled to undergo surgery with epidural anesthesia at Tokyo Medical and Dental University Hospital / Institute of Science Tokyo Hospital. Patients who have already undergone preoperative CT imaging including the spinal region, regardless of whether contrast-enhanced or non-contrast CT was performed. Patients who provide written informed consent for participation in this study or for the use of their clinical data. Patients aged 20 years or older at the time of consent. Both male and female patients are eligible. Epidural anesthesia will be performed by a senior resident in anesthesiology who has not yet obtained certification as an anesthesiology practitioner and who has provided consent to participate in this study. The supervising anesthesiologist must be a board-certified anesthesiologist or higher, be familiar with the simulation method using SYNAPSE VINCENT, and have provided consent to participate in this study.
Exclusion criteria
Exclusion criteria: Key exclusion criteria Patients in whom standard epidural anesthesia is considered difficult or not indicated for medical reasons. Patients with absolute contraindications to epidural anesthesia, such as infection at the puncture site, coagulation abnormalities, or thrombocytopenia. Patients who do not provide consent to participate in the study or who withdraw consent. Patients who are unable to maintain the required position for epidural anesthesia. Patients with significant preoperative neurological symptoms. Patients undergoing emergency surgery for whom there is insufficient time to perform pre-procedure simulation using three-dimensional reconstructed CT images. Pregnant patients. Patients deemed unsuitable for participation in this study by the principal investigator or a sub-investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of puncture attempts required for successful epidural puncture | — |
Secondary
| Measure | Time frame |
|---|---|
| Time from skin puncture to identification of the epidural space Proportion of cases requiring a change in the intervertebral puncture level Proportion of cases requiring a change in the operator performing the puncture Whether epidural catheter insertion was discontinued Incidence of accidental dural puncture Incidence of vascular puncture Incidence of epidural hematoma | — |
Countries
Japan
Contacts
Public ContactShoko Imamura
Institute of Science Tokyo Hospital Anesthesiology
Outcome results
None listed