Real-time Ultrasound-guided Paramedian Epidural Access: Evaluation of a Novel In-plane Transverse View Technique

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01686243

Enrollment

Registered

2012-09-18

Start date

2012-07-31

Completion date

2016-11-25

Last updated

2019-04-08

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

Conditions

Epidural Placement

Keywords

epidural

Brief summary

The aim of this study is to demonstrate the feasibility of a new technique using real time ultrasound guided paramedian approach to the epidural space. This approach will use transverse view of the spine utilizing curvilinear low frequency ultrasound probe Sonosite S nerve and echogenic 17G tuohy needles Pajunk TuohySono The investigators believe that this new technique is helpful to get the best anatomic landmark for epidural catheter placement using the real-time ultrasound. Measurable outcomes: * Block performance time. * Block success rate. * Needle Depth to epidural space Block success rate will be measured as the rate of cases that will have successful insertion of the epidural catheter using ultrasound guidance and the case is done completely under epidural anesthesia. All cases that will be converted to general anesthesia will be counted unsuccessful. Other measurable outcome data that will be collected will include needle depth to the epidural space, and ultrasound measured depth to the lamina

Interventions

OTHERepidural needle placement with echogenic 17G Tuohy needles (Pajunk TuohySono)

Anesthesiologist will place epidural with aid of ultrasound and placement with echogenic 17G Tuohy needles (Pajunk TuohySono)

OTHERstandard epidural placement

Anesthesiologist will place epidural within standard practice, with standard needles.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

BASIC_SCIENCE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

30 Years to 80 Years

Healthy volunteers

Inclusion criteria

* Adult Patients 30 to 80 years old at time of surgery. * Patients in whom epidural anesthesia is planned to be used as the for surgery Surgical epidural

Exclusion criteria

* Current or recent drug abuse (within past 6 months). * Allergy to local anesthetics * Patient refusal.

Design outcomes

Primary

Measure	Time frame	Description
Real-time ultrasound-guided paramedian epidural access:	Day 1	Block success rate will be measured as the rate of cases that will have succesful insertion of the epidural catheter using ultrasound guidance and the case is done completely under epidural anesthesia. The aim of this study is to demonstrate the feasibility of a new technique using real time ultrasound guided paramedian approach to the epidural space. This approach will use transverse view of the spine utilizing curvilinear low frequency ultrasound probe Sonosite S nerve and echogenic 17G tuohy needles Pajunk TuohySono

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026