Neuraxial Ultrasound for Thoracic Epidural Placement
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/14/2017 |
| Start Date: | April 2009 |
| End Date: | February 2014 |
Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study
This blinded, randomized study compares standard palpation to ultrasound-assisted landmark
identification of the thoracic spine for thoracic epidural catheterization.
identification of the thoracic spine for thoracic epidural catheterization.
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.
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.
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
We found this trial at
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Virginia Mason Medical Center Established in 1920, Virginia Mason began as an 80-bed hospital with...
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