None listed
Conditions
Interventions
Procedure/Surgery : Patient is placed on an operating table with a prone position. The fluoroscopy is utilized to identify the thoracic vertebrae level. An insertion site ranging from T4 to T8 is sele
Sponsors
Asan Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Patients who mandatorily need mid-thoracic (T4-8) epidural access 2) Patients who undergo thoracic epidural block 3) Patients who undergo thoracic epidural catheter insertion 4) Patients who undergo thoracic blood patch 5) 20 = Age = 79 6) Patients who want to participate in this study and write informed consent voluntarily.
Exclusion criteria
Exclusion criteria: 1) An allergy to local anesthetics and contrast dye, or steroid 2) Coagulopathy, infection at the insertion site 3) Neurological or psychiatric disorders 4) Pregnancy 5) Prior spine instrumentation on the thoracic region 6) Patients who'do not want to participate in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First attempt success: achieving the successful epidural access at once without any backward movement of the needle | — |
Secondary
| Measure | Time frame |
|---|---|
| Needling time: procedural time from the skin puncture to approah the epidural space;Total number of needle passes: First needle pass + additional needle passes;Number of skin punctures;Success or failure: success indicates that the needle approaches the epidural space.;Patient satisfaction for the procedure;Radiation dose;Procedure related complications;Crossover success: achieving successful epidural access by the use of another method if the primary process is failed.;Numeric rating scale during the procedure | — |
Countries
Korea, Republic of
Contacts
Public ContactDoo-hwan Kim
Asan Medical Center
Outcome results
None listed