Different Type Ultrasound Guided Epidural Block Methods

Bursa Yüksek İhtisas Education and Research Hospital

Status: Completed

Conditions: Epidural Anesthesia; Ultrasound

Treatments: Other: Epidural block

Study type: Interventional

Funder types: Other

Identifiers

NCT04222192

2011-KAEK-25 2019/12-09

Details and patient eligibility

About

The nerve blocks applied with ultrasonography are used for pain and operation after many operations today.

Applications with ultrasonography shorten the processing time, reduce the amount of local anesthetic used and lead to fewer complications.

However, the use of ultrasonography is not so common in neuraxial regional anesthesia applications. In the literature, epidural applications accompanied by ultrasonography were applied with different approaches.

Full description

In this study the investigators will used the two different ultrasound -guided epidural block approach .

Paramedian sagittal oblique and Transverse interlaminar. The investigators will used this two technique in epidural catheter placement using the real-time ultrasound.

Enrollment: 90 patients

Sex: All

Ages: 25 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who were in the American Society of Anesthesiologists (ASA) I-III class
• Patients whom need medical epidural anesthesia
• Patients with consent to participate in the study

Exclusion criteria

• Patients with a known history of back surgery
• Bleeding diathesis disorder
• Allergy to local anesthetics
• Patient refusal

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

Conventional Epidural application

Sham Comparator group

Description:

Epidural catheter insertions with conventional (anatomical landmarks use) method

Treatment:

Other: Epidural block

Paramedian sagittal application

Active Comparator group

Description:

Epidural catheter insertions with real time ultrasound guided Paramedian sagittal approach

Treatment:

Other: Epidural block

Transverse Interlaminar application

Active Comparator group

Description:

Epidural catheter insertions with real time ultrasound guided Transverse Interlaminar approach

Treatment:

Other: Epidural block