Anesthesia; Functional
Conditions
Brief summary
This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.
Interventions
PROCEDUREGroup (1): spinal anesthesia with median approach
patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques
PROCEDUREGroup (2): spinal anesthesia with paramedian approach
patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients will perform orthopedic surgery * Physical state I or II according to ASA classification * Age between (18 - 50 ) * Body mass index less than 30
Exclusion criteria
* Patient refusal . * Local infection at the puncture site . * Allergy to any of the drugs to be administrated . * Old age patients * Obese patients * Previous spinal surgery . * Spinal stenosis . * Multiple sclerosis . * Coagulopathy. * Hypovolemia . * Systemic infection . * Aortic stenosis . * Spina bifida and back deformity .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach | 24 hours, 72 hours, and 1 week after spinal anesthesia. | pain measurement by numerical rating scale (NRS) |
Countries
Egypt
Contacts
Primary ContactAreej M Abd Elkader, Resident
Backup ContactAhmed E Abd Elrahman, Professor
Outcome results
None listed