Skip to content

A Comparative Analysis of Optimal Needle Angulation for Spinal Anesthesia in a Sitting Position: A Prospective, Randomized Controlled Trial

A Comparative Analysis of Optimal Needle Angulation for Spinal Anesthesia in a Sitting Position: A Prospective, Randomized Controlled Trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CRIS
Registry ID
KCT0011252
Enrollment
138
Registered
2025-12-04
Start date
2025-12-16
Completion date
Unknown
Last updated
2025-12-08

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

Conditions

None listed

Interventions

Others(Procedure) : Group C: After skin preparation with sterile gloves and povidone-iodine prior to spinal anesthesia, the needle is inserted in the lateral decubitus position using the traditionally

Sponsors

Konyang University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Inclusion Criteria All of the following conditions must be met: Patients aged 20 to 65 years who are scheduled to undergo spinal anesthesia. Patients classified as ASA Physical Status I–III according to the American Society of Anesthesiologists (ASA) classification. Class I: A normal healthy patient Class II: A patient with mild to moderate systemic disease caused by the surgical condition or comorbidities Class III: A patient with severe systemic disease that limits daily activity Class IV: A patient with severe systemic disease that is a constant threat to life Class V: A moribund patient who is not expected to survive 24 hours without the operation Class VI: A declared brain-dead patient whose organs are being removed for donor purposes

Exclusion criteria

Exclusion criteria: [Exclusion Criteria] Participants who meet any of the following conditions will be excluded: Refusal of spinal anesthesia or refusal to provide consent for participation in the study. Presence of severe spinal pathology. General condition not suitable for spinal anesthesia (e.g., patients taking thrombolytic agents with a high risk of bleeding). 1. History of lumbar surgery such as spinal fusion, resulting in anatomical alteration that makes accurate measurement difficult. 2. Spinal malalignment such as spondylolisthesis. 3. Lumbar spine X-ray showing excessively narrow interlaminar space, making spinal anesthesia technically difficult. 4. Local infection at the injection site. 5. History of psychiatric illness or cognitive impairment. 6. Pregnancy. 7. Hospital employees and students (including medical and nursing students at this institution). 8. Any other condition in which the anesthesiologist determines that spinal anesthesia would be difficult.

Design outcomes

Primary

MeasureTime frame
First-attempt success rate of spinal anesthesia

Secondary

MeasureTime frame
Second-attempt, Third-attempt success rate, Failure rate of spinal anesthesia

Countries

Korea, Republic of

Contacts

Public ContactHwangju You

Konyang University Hospital

y910318@naver.com+82-42-600-9057

Outcome results

None listed

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