Real-time USG thoracic epidural catheter insertion comparing to landmark technique

A prospective randomized comparative study: conventional technique vs real-time ultrasound assisted thoracic epidural catheter insertion for postoperative pain management in patients undergoing major abdominal and thoracic surgery

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

TCTR

Registry ID

TCTR20200522002

Enrollment

Registered

2020-05-22

Start date

2020-05-22

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

Thoracic epidural catheter insertion is a challenging procedure, and previous pieces of evidence together with our experience found that using land-mark technique had a highly failure rate Thoracic Epidural Analgesia, Postoperative pain, Ultrasound guidance, Land-mark Technique, Regional Analgesia, Neuraxial Block

Interventions

patients will receive TEC by the list of anesthesiologist using conventional anatomical landmark based technique. Epidural needle was inserted either median or paramedian depend on list anesthesiologi

Active Comparator Procedure/Surgery,Experimental Procedure/Surgery

conventional TEC,real-time usg TEC

Eligibility

Sex/Gender

All

Age

18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Age between 18 to 80 years old Schedule for elective major abdominal and thoracic surgery Plan to place epidural catheter insertion for perioperative and postoperative pain control

Exclusion criteria

Exclusion criteria: Refuse to participate in the study ASA physical status > III Having contraindication for neuraxial block Having thoracic spine deformity Having a history of thoracic spine surgery Pregnancy Morbid obesity (BMI more than 35 kg/m2) Allergy to local anesthetic drug

Design outcomes

Primary

Measure	Time frame
success rate at the first attempt within 30 min of trying ortherwise will determine as a failure counting the attempting to place the epidural catheter	—

Secondary

Measure	Time frame
number attempt to get loss of resistance within 30 min after of procedure counting method how many needle advancement to get loss of resistance,number of skin puncture within 30 min of procedure counting the number of skin puncture (insertion points)),procedure time within 30 min of procedure counting clock, time from epidural needle insertion to get LOR,preparation time; time from patient position to local anesthetic skin infitratrion within 30 min counting clock,discomfort score; rating scale 0-10 within 30 min of procedure ask patients to rate discofort score	—

Measure

Time frame

number attempt to get loss of resistance within 30 min after of procedure counting method how many needle advancement to get loss of resistance,number of skin puncture within 30 min of procedure counting the number of skin puncture (insertion points)),procedure time within 30 min of procedure counting clock, time from epidural needle insertion to get LOR,preparation time; time from patient position to local anesthetic skin infitratrion within 30 min counting clock,discomfort score; rating scale 0-10 within 30 min of procedure ask patients to rate discofort score

—

Countries

Thailand

Contacts

Public ContactJatuporn Pakpirom

Prince of Songkla University

pakpirom013@gmail.com074451645

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026