Ultrasound-assisted versus landmark-based spinal block performance in emergency caesarean delivery in obese patients at a central hospital

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202001800912516

Enrollment

Registered

2020-01-07

Start date

2019-12-02

Completion date

Unknown

Last updated

2026-09-14

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

Conditions

Anaesthesia

Interventions

Ultrasound Assisted Spinal Anaesthetic

Landmark Based Spinal Anaesthetic

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: The patient inclusion criteria for this study are: • ASA I, II and III patients • age ? 18 years • presenting for emergency caesarean delivery • who consent to take part in the study • BMI at first antenatal weight recording ? 30kg.m-2 • under spinal block as the first choice of anaesthetic • by an anaesthetist who meets study criteria. The anaesthetist inclusion criteria for this study are: • qualified doctor working in the Department of Anaesthesiology • medical officer or registrar • with at least two years of supervised experience in anaesthesia • who consents to inclusion to the study.

Exclusion criteria

Exclusion criteria: The patient exclusion criteria in this study are: • patients with contraindications to spinal block, including known spinal disease • patient unable to communicate in English. The anaesthetist exclusion criteria for this study are • prior inclusion in the study two times.

Design outcomes

Primary

Measure	Time frame
First-pass success rate - rate at which subarachnoid space is reached on first puncture and pass of spinal needle;Number of needle punctures - the number of times the spinal needle was withdrawn from the skin and reinserted. ;Number of needle passes - the number of times the spinal needle is advanced, withdrawn and then redirected towards the subarachnoid space without exiting the skin. ;Procedure time - the time from first insertion of the spinal needle through the skin to connecting the syringe for injection after free cerebrospinal fluid flow is noted	—

Measure

Time frame

First-pass success rate - rate at which subarachnoid space is reached on first puncture and pass of spinal needle;Number of needle punctures - the number of times the spinal needle was withdrawn from the skin and reinserted. ;Number of needle passes - the number of times the spinal needle is advanced, withdrawn and then redirected towards the subarachnoid space without exiting the skin. ;Procedure time - the time from first insertion of the spinal needle through the skin to connecting the syringe for injection after free cerebrospinal fluid flow is noted

—

Secondary

Measure	Time frame
Initial intervertebral space used - the intervertebral space entered with the first needle puncture;Final intervertebral space - the intervertebral space entered with the needle puncture resulting in successful cerebrospinal fluid flow;Number of intervertebral spaces attempted - number of different intervertebral spaces entered during spinal anaesthetic administration	—

Countries

South Africa

Contacts

Public ContactBojan Korda

Registrar Anaesthesiology

drbkorda@gmail.com+27782283474

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026