Pendant Position and Traditional Sitting Position for Successful Spinal Puncture in Spinal Anaesthesia

Comparison Between Pendant Position and Traditional Sitting Position for Successful Spinal Puncture in Spinal Anaesthesia for Cesarean Section

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02753660

Enrollment

308

Registered

2016-04-28

Start date

2014-08-31

Completion date

2014-10-31

Last updated

2016-04-29

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

Conditions

Pregnancy, Caesarean Section

Keywords

spinal, anesthesia, pendant, spinal-bone contact, puncture

Brief summary

The aim of this study was to compare the successful spinal puncture among patients with pendant position in comparison with those who used traditional sitting position for caesarean section.

Detailed description

Approval from Ethical Committee of Faculty of Medicine University of Indonesia was acquired prior conducting the study. Subjects were given informed consent before enrolling the study. Subjects were divided into Group A for traditional sitting position (n=154) and Group B for pendant position (n=154). The outcome parameters recorded were the number of attempt for the successful spinal puncture, the number of spinal needle-bone contact and the duration to perform spinal puncture. Data were analyzed by using Statistical Package for Social Scientist (SPSS) version 21.0. Numerical data was served in median with minimal and maximal value. Numerical data was analyzed by using Mann-Whitney test. Categorical data was served by using relative risk (RR) with 95% confidence interval (95% CI) and was analyzed by using Chi-Square test.

Interventions

PROCEDURETraditional sitting position

Subjects were set on traditional sitting position before spinal anesthesia begun.

PROCEDUREPendant position

Subjects were set on pendant position before spinal anesthesia begun.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

* pregnant women aged 18-45 years old * Body Mass Index (BMI) 18-35 kg/m2 * physical status American Society of Anesthesiologists (ASA) I-III * planned to undergo cesarean section with spinal anesthesia and signed the informed consent form

Exclusion criteria

* Patients with any contraindication for spinal anesthesia (infection on injection site, coagulation disorder, severe hypovolemia, increased intracranial pressure, aortic and/or mitral stenosis) * pregnancy with head entrapment of the fetus, umbilical cord prolapse, feet presentation, * Patient with eclampsia * Patient with cardiovascular diseases * Patient with scoliosis * Patient with history of lumbar surgery * Patient with unpalpable intervertebral space due to thick fatty tissue or edema. Drop out criteria: \- spinal block was failed or only partial block

Design outcomes

Primary

Measure	Time frame	Description
Successful spinal puncture attempt number	2 months	The number of attempt for the successful spinal puncture for each positions
The number of spinal needle-bone contact	2 months	The number of spinal needle-bone contact for each positions
Spinal puncture duration	2 months	the duration to perform spinal puncture for each positions

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 9, 2026