Age greater than or equal to 65-years-old Schedule for elective major abdominal and thoracic surgery Plan to insert a thoracic epidural catheter for perioperative pain control Thoracic epidural placement elderly real-time ultrasound-assisted
Conditions
Interventions
anatomical landmark-based technique,Real-time ultrasound to guide Touhy needle to the epidural opening gap(interlaminar)
Active Comparator Procedure/Surgery,Experimental Procedure/Surgery
conventional thoracic epidural placement,real-time ultrasound guided thoracic epidural placement
Sponsors
Faculty of medicine, Prince of Songkla university
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: Age greater than or equal to 65-years-old Schedule for elective major abdominal and thoracic surgery Plan to insert a thoracic epidural catheter for perioperative pain control
Exclusion criteria
Exclusion criteria: Refuse to participate in the study Having contraindication of neuraxial anesthesia Having thoracic spine deformity Having previously thoracic spine surgery Allergy to local anesthetic drug Having severe medical conditions Have been a participant in another research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the first pass success rate (able to identify epidural space and insert the catheter at the first attempt) during epidural placement percent | — |
Secondary
| Measure | Time frame |
|---|---|
| total performance time during epidural placement time,number of attempts (Number of re-advances the needle after needle insertion or withdraw the needle and redirection again) during epidural placement count attempts,Number of skin punctures during epidural placement count skin punctures,discomfort score during epidural placement verbal rating scale 0-10 | — |
Countries
Thailand
Contacts
Public ContactKaruna Sutthibenjakul
Prince of Songkhla University
Outcome results
None listed