NCT01449214

Ultrasound-Guided Technique for Thoracic Epidural Insertion

Ultrasound-Guided Technique for Thoracic Epidural Insertion: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Samuel Lunenfeld Research Institute, Mount Sinai Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Thoracic epidural analgesia and anesthesia are effective in improving the quality of intraoperative and postoperative pain relief during thoracic and abdominal surgical procedures. Conventional epidural techniques have significant limitations. Due to the anatomic characteristics of the thoracic versus the lumbar intervertebral spaces, the insertion requires a more technically challenging paramedian approach. The safety and feasibility of bedside ultrasonography for the lumbar spine has already been established and it proves to be a valuable tool for neuraxial anesthesia in obstetric anesthesia

Detailed description

• The feasibility and the reliability of US imaging for the thoracic spine has been proven by comparing the findings of ultrasound scans to MRI measurements, which is the standard imaging technique for the depiction of the spine. Pre-puncture US assessment may contribute to the safety and efficacy of the thoracic epidural technique. The purpose of this study is to compare the ultrasound-guided thoracic epidural insertion technique with the conventional anatomic landmarking technique of contacting bone and walking-off the lamina

Conditions

• Pain

Interventions

Type	Name	Description
PROCEDURE	Ultrasound	Ultrasound-guided technique
PROCEDURE	Landmarking	Landmark-guided technique

Timeline

• Start date: 2011-10-01
• Primary completion: 2015-12-01
• Completion: 2015-12-01
• First posted: 2011-10-10
• Last updated: 2016-05-02

Locations

2 sites across 1 country: Canada