Recruiting NCT07047469
Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Group (1): spinal anesthesia with median approach, Group (2): spinal anesthesia with paramedian approach.
- Who it may be relevant to
- Registry conditions: Anesthesia; Functional. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
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.
Interventions
- Procedure Group (1): spinal anesthesia with median approach
patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques - Procedure Group (2): spinal anesthesia with paramedian approach
patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques
Primary outcome measures
- The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach [Time frame: 24 hours, 72 hours, and 1 week after spinal anesthesia.]
Eligibility criteria
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 .
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Other
Study locations
Egypt · 1 center
- Sohag University Hospital — Sohag
Publications
- Zeng W, Shi Y, Zheng Q, Du S. Ultrasound-assisted modified paramedian technique for spinal anesthesia in elderly. BMC Anesthesiol. 2022 Jul 30;22(1):242. doi: 10.1186/s12871-022-01751-0. PMID 35907825
- Singh B, Sohal AS, Singh I, Goyal S, Kaur P, Attri JP. Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia. Anesth Essays Res. 2018 Jan-Mar;12(1):186-189. doi: 10.4103/aer.AER_139_17. PMID 29628579
- Wilson JM, Farley KX, Erens GA, Guild GN 3rd. General vs Spinal Anesthesia for Revision Total Knee Arthroplasty: Do Complication Rates Differ? J Arthroplasty. 2019 Jul;34(7):1417-1422. doi: 10.1016/j.arth.2019.03.048. Epub 2019 Mar 28. PMID 31005435
Identifiers
NCT: NCT07047469 · Soh-Med--25-6-16MS