Comparison of handheld ultrasound-assisted method and palpation guided method in combined spinal-epidural analgesia for labor analgesia by trainee

Comparison of handheld ultrasound-assisted method and palpation guided method in combined spinal-epidural analgesia by trainee: a randomized controlled trial

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0007955

Enrollment

Registered

2022-12-02

Start date

2022-12-06

Completion date

Unknown

Last updated

2023-01-10

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

Conditions

None listed

Interventions

Procedure/Surgery : Hand-held ultrasound When performing combined spinal-epidural anesthesia in the intervention group, the epidural space are checked using a hand-held ultrasound, and epidural anesth

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: Adult pregnant under spinal-epidural anesthesia for labor analgesia with American Society of Anesthesiologist classification system I, II, III

Exclusion criteria

Exclusion criteria: ? Contraindications to neuraxial anesthesia (hypersensitive to local anesthetic, coagulation disorder, local infection around the needle insertion site) ? Incommunicable ? With severe heart disease ? With a history of spine surgery ? With anatomical abnormality of the lumbar spine

Design outcomes

Primary

Measure	Time frame
First insertion success rate of combined spinal-epidural analgesia	—

Secondary

Measure	Time frame
Number of needle passes ;Number of needle insertion attempts;Total time from the start of landmark identification to needle removal after successful procedure;Identifying time taken to establish landmarks;Procedural time between initial needle insertion and needle removal after successful procedure;First needle pass success rate;Success rate of combined spinal-epidural analgesia using the needle-through-needle technique;Incidence of complication during procedure;Pain score before the procedure;Pain score 5 minutes after the procedure;Patient satisfaction score with the procedure	—

Measure

Time frame

Number of needle passes ;Number of needle insertion attempts;Total time from the start of landmark identification to needle removal after successful procedure;Identifying time taken to establish landmarks;Procedural time between initial needle insertion and needle removal after successful procedure;First needle pass success rate;Success rate of combined spinal-epidural analgesia using the needle-through-needle technique;Incidence of complication during procedure;Pain score before the procedure;Pain score 5 minutes after the procedure;Patient satisfaction score with the procedure

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Countries

Korea, Republic of

Contacts

Public ContactYounwon Kim

Seoul National University Hospital

youngwon.md@gmail.com+82-2-2072-3283

Outcome results