Spinal block is a procedure that requires skill, especially in more difficult patients such as pregnant parturients. We hypothesize that a transparent drape will improve the success rate of spinal block in trainees compared to the conventional drape which is opaque. Spinal block Pregnancy Spinal drape Anesthesia residents training
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective Caesarian section under spinal anesthesia, 2. Age of 18 and over, 3.BMI 30-39.9 kg/m2, 3. ASA Physical status II-III
Exclusion criteria
Exclusion criteria: 1. Patient denies undergoing spinal anesthesia, 2. The patient has any contraindication of undergoing spinal anesthesia, 3. Known condition of spinal pathology, such as spinal stenosis or scoliosis, 4. Pregnancy of twins or more.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate (percentage of success spinal block) 15 minutes after placement of spinal needle Success spinal block defined as anesthesia resident can retrieved CSF without any mentoring assistance or special equipment, 2. Spinal needle inserting of 2 or less attempt | — |
Secondary
| Measure | Time frame |
|---|---|
| Attempts of needle insertion 15 minutes after placement of spinal needle Number of spinal needle puncture through skin,Attempts of needle redirection 15 minutes after placement of spinal needle Number of spinal needle withdrawal within patient soft tissue,Time of CSF retrieved 15 minutes after placement of spinal needle Counting from spinal needle insertion until first drop of CSF,Satisfaction from anesthesia residents After spinal anesthesia was done Questionaire asking the residents of the easeness after using each drape and their preference. | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj Hospital, Mahidol University