Paramedian Spinal Anaesthesia : Comparison Between Land-mark Guided Technique and Real-time Ultrasound Guided Technique.

Cairo University (CU)

Status: Unknown

Conditions: Real Time Ultrasound Guiding; Paramedian Spinal Anaesthesia

Treatments: Procedure: conventional paramedian spinal anesthesia; Device: ultrasound guided paramedian spinal anesthesia

Study type: Interventional

Funder types: Other

Identifiers

NCT02767076

N-15-2016

Details and patient eligibility

About

To identify the value of using the ultrasound in applying a commonly used regional anaesthetic procedure (spinal anaesthesia) when compared with the conventional landmark guided approach, regarding the efficiency of the anaesthetic technique, incidence of associated common complications and patient's satisfaction.

Enrollment: 110 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. ASA physical status I-II patients
2. Patient's consented approval
3. Males or Females
4. Aged 18-60 years old
5. Body mass index less than 30
6. Scheduled for orthopaedic knee surgeries

Exclusion criteria

1. Age less than 18, and more than 60 years
2. Body mass index more than 30
3. Patient refusal or failure to obtain consent
4. Patient in whom spinal anaesthesia is contraindicated (infection at the site of needle insertion, coagulopathy reflected by values of INR≥ 1.2 or platelets count≤ 75.000, or receiving oral anticoagulants)
5. Known sensitivity to local anaesthetics
6. Pre-existing neurological disorder or neuromuscular disease
7. Clinically obvious or known spinal deformity or previous spinal surgery

Trial design

110 participants in 2 patient groups

Conventional

Active Comparator group

Description:

conventional paramedian spinal anesthesia

Treatment:

Procedure: conventional paramedian spinal anesthesia

Ultrasound

Experimental group

Description:

ultrasound guided paramedian spinal anesthesia

Treatment:

Device: ultrasound guided paramedian spinal anesthesia