NCT02785055

Neuraxial Ultrasound for Thoracic Epidural Placement

Evaluation of Ultrasound-Assisted Thoracic Epidural Placement in Patients Undergoing Upper Abdominal and Thoracic Surgery: A Randomized, Double-Blind Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 70 (actual)
• Sponsor: Benaroya Research Institute · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This blinded, randomized study compares standard palpation to ultrasound-assisted landmark identification of the thoracic spine for thoracic epidural catheterization.

Detailed description

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.

Conditions

• Analgesia, Epidural

Interventions

Type	Name	Description
PROCEDURE	Thoracic Epidural Placement	Thoracic Epidural Placement
DRUG	Bupivacaine 0.05%	Delivery of epidural solution containing both bupivacaine 0.05%/hydromorphone0.01mg/mL solution
DRUG	Hydromorphone 0.01mg/mL	Delivery of epidural solution containing both bupivacaine 0.05%/hydromorphone0.01mg/mL solution

Timeline

• Start date: 2009-04-01
• Primary completion: 2014-02-01
• Completion: 2014-02-01
• First posted: 2016-05-27
• Last updated: 2016-05-27

Locations

1 site across 1 country: United States