Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery

Sohag University

Status: Enrolling

Conditions: Anesthesia; Functional

Treatments: Procedure: Group (1): spinal anesthesia with median approach; Procedure: Group (2): spinal anesthesia with paramedian approach

Study type: Interventional

Funder types: Other

Identifiers

NCT07047469

Soh-Med--25-6-16MS

Details and patient eligibility

About

This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.

Enrollment: 110 estimated patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients will perform orthopedic surgery
• Physical state I or II according to ASA classification
• Age between (18 - 50 )
• Body mass index less than 30

Exclusion criteria

• Patient refusal .
• Local infection at the puncture site .
• Allergy to any of the drugs to be administrated .
• Old age patients
• Obese patients
• Previous spinal surgery .
• Spinal stenosis .
• Multiple sclerosis .
• Coagulopathy.
• Hypovolemia .
• Systemic infection .
• Aortic stenosis .
• Spina bifida and back deformity .

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

110 participants in 2 patient groups

Group (1): spinal anesthesia with median approach

Active Comparator group

Description:

patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques

Treatment:

Procedure: Group (1): spinal anesthesia with median approach

Group (2): spinal anesthesia with paramedian approach

Active Comparator group

Description:

patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques

Treatment:

Procedure: Group (2): spinal anesthesia with paramedian approach