Epidural Anesthesia, Ultrasound
Conditions
Brief summary
The nerve blocks applied with ultrasonography are used for pain and operation after many operations today. Applications with ultrasonography shorten the processing time, reduce the amount of local anesthetic used and lead to fewer complications. However, the use of ultrasonography is not so common in neuraxial regional anesthesia applications. In the literature, epidural applications accompanied by ultrasonography were applied with different approaches.
Detailed description
In this study the investigators will used the two different ultrasound -guided epidural block approach . Paramedian sagittal oblique and Transverse interlaminar. The investigators will used this two technique in epidural catheter placement using the real-time ultrasound.
Interventions
OTHEREpidural block
Epidural catheter insertions
Sponsors
Bursa Yuksek Ihtisas Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patients who were in the American Society of Anesthesiologists (ASA) I-III class * Patients whom need medical epidural anesthesia * Patients with consent to participate in the study
Exclusion criteria
* Patients with a known history of back surgery * Bleeding diathesis disorder * Allergy to local anesthetics * Patient refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of needle routing | 20 minutes | number of needle redirects forming successful block |
| Epidural catheter placement time | 20 minutes | time (minutes) until the epidural catheter is inserted |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Epidural igne visibility degree | 20 minutes | 4 = Excellent visibility, 3 = Medium visibility, 2 = Weak visibility 1 = No visibility using a 4-point Likert scale by the practitioner |
| Difficulty of catheter placement | 30 minutes | Assessed by the Practitioner using a 10-point scale, 0: easiest, 10: hardest) |
| distance measurement of neuraxial structures | 30 minutes | Anterior and posterior complex distance measured during epidural administration. Distance from skin to anterior aspect of ligament flavum (cm) Distance from skin to posterior dura (cm) |
| Patient position | 20 minutes | Patient position during epidural placement Sitting Lateral |
Countries
Turkey (Türkiye)
Outcome results
None listed