Dural Puncture Epidural Technique
Conditions
Brief summary
The study aims to evaluate whether the dural puncture epidural technique (group B) improves sacral block anesthesia during vaginal surgeries compared with the conventional epidural technique (group A).
Interventions
PROCEDUREConventional epidural
In this group, a 20-gauge multi-orifice catheter was threaded through the cephalic-directed tip of the epidural needle 5 cm into the epidural space.
PROCEDUREDural puncture epidural
In this group, the dura was punctured by 25G Whitacre needle. After confirmation of CSF flow, the needle was removed and the epidural catheter was threaded.
Sponsors
Cairo University
National Research Centre, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
Age (25- 55) years. Height (150 -170) cm.
Exclusion criteria
Patient refusal. Hypersensitivity to local anesthetic drugs. Bleeding disorders and coagulopathy. Severe mitral or aortic stenosis. Local or systemic sepsis. Uncooperative patients. Sever spinal deformity. Blood or CSF in the epidural catheter during the procedure. Failure of the block and need for general anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time of onset of anesthesia to T10 | During surgery |
| Time for complete motor block | During surgery |
| Time for first rescue analgesia will be required during surgery | During surgery |
Outcome results
None listed