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Neuraxial Ultrasound for Thoracic Epidural Placement

Benaroya Research Institute logo

Benaroya Research Institute

Status

Completed

Conditions

Analgesia, Epidural

Treatments

Drug: Hydromorphone 0.01mg/mL
Drug: Bupivacaine 0.05%
Procedure: Thoracic Epidural Placement

Study type

Interventional

Funder types

Other

Identifiers

NCT02785055
IRB08130

Details and patient eligibility

About

This blinded, randomized study compares standard palpation to ultrasound-assisted landmark identification of the thoracic spine for thoracic epidural catheterization.

Full description

In this study, the investigators will utilize ultrasonography to identify midline bony landmarks including spinous processes, laminae, and intervertebral interspaces prior to the initial needle placement and compare this to standard palpation of the bony thoracic spine for thoracic epidural placement. The investigators will evaluate and compare the two needle localization techniques by the following outcomes: time to identify the epidural space by loss of resistance, needle passes, skin punctures, recovery room pain scores, and epidural success.

Enrollment

70 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • American Society of Anesthesiology Classification I-IV
  • thoracic surgery
  • abdominal surgery

Exclusion criteria

  • contraindications to epidural catheter
  • pregnancy
  • coagulopathy
  • infection (localized)
  • allergy to local anesthetics

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

70 participants in 2 patient groups

Ultrasound-Assisted
Active Comparator group
Description:
Ultrasound assisted marking of the thoracic spine on the skin for Thoracic Epidural Placement
Treatment:
Procedure: Thoracic Epidural Placement
Drug: Hydromorphone 0.01mg/mL
Drug: Bupivacaine 0.05%
Palpation
Active Comparator group
Description:
Palpation marking of the thoracic spine on the skin for Thoracic Epidural Placement
Treatment:
Procedure: Thoracic Epidural Placement
Drug: Hydromorphone 0.01mg/mL
Drug: Bupivacaine 0.05%

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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