Spinal Anaesthesia, Ultrasound
Conditions
Brief summary
A randomised controlled trial comparing the use of pre-procedural ultrasound scanning with manual palpation to identify landmarks for performance of spinal anaesthesia.
Interventions
Pre-procedural ultrasound scan was performed
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I to III * undergoing surgery amenable to spinal anaesthesia
Exclusion criteria
* Patient refusal * contraindications to regional anaesthesia * known allergy to local anaesthetics * bleeding diathesis * inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success Rate of First-attempt of Spinal Anaesthesia | During procedure |
Secondary
| Measure | Time frame |
|---|---|
| Time Taken to Perform Spinal Anaesthesia | During procedure |
Countries
Singapore
Participant flow
Recruitment details
April 2011-April 2012 Changi General Hospital
Participants by arm
| Arm | Count |
|---|---|
| Ultrasound-assisted Pre-procedural ultrasound scan performed | 85 |
| Manual Palpation | 85 |
| Total | 170 |
Baseline characteristics
| Characteristic | Manual Palpation | Ultrasound-assisted | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 85 Participants | 85 Participants | 170 Participants |
| Age Continuous | 63.7 years STANDARD_DEVIATION 12.6 | 61.1 years STANDARD_DEVIATION 13.3 | 62.4 years STANDARD_DEVIATION 12.9 |
| Region of Enrollment Singapore | 85 participants | 85 participants | 170 participants |
| Sex: Female, Male Female | 45 Participants | 30 Participants | 75 Participants |
| Sex: Female, Male Male | 40 Participants | 55 Participants | 95 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 |
Outcome results
Success Rate of First-attempt of Spinal Anaesthesia
Time frame: During procedure
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Ultrasound-assisted | Success Rate of First-attempt of Spinal Anaesthesia | 54 participants |
| Manual Palpation | Success Rate of First-attempt of Spinal Anaesthesia | 44 participants |
Time Taken to Perform Spinal Anaesthesia
Time frame: During procedure