NCT03750877

Median and Paramedian Approach in Spinal Anesthesia

Evaluation of Median and Paramedian Approach in Spinal Anesthesia in Elderly Patients

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: Trabzon Kanuni Education and Research Hospital · Academic / Other
• Sex: All
• Age: 70 Years
• Healthy volunteers: Not accepted

Summary

Spinal anesthesia (SA) is frequently used as anesthesia in many surgeries such as lower abdominal, inguinal, urogenital, rectal and lower extremities. Conventional median approach (MA) is preferred more frequently, although MA or paramedian approach (PA) is used in SA. Especially in geriatric patients due to degenerative changes Although we are told that degenerative changes are less affected in PA during SA in the geriatric age group, few studies have been conducted on the subject and we aimed to evaluate the superiority of the two methods.

Detailed description

In our study, 100 cases were planned to be evaluated prospectively. Patients scheduled for surgery under spinal anesthesia will undergo routine spinal preparation. After routine motorization, patients will be treated with MA or PA. MA will be performed in a conventional manner and PA will be performed by adding 1 cm lateral and 1 cm caudal from the planned vertebral space to 10-15 degree medial and cephal. If one of the patients with MA or PA fails, despite three attempts, the other method will be tried by another specialist. If the procedure fails or there are not enough blocks, a different anesthesia method will be applied. The data of the patients included in the study were evaluated by a different researcher other than the SA physician; demographic data of the cases, type of operation, MA or PA in SA and the number of repeated attempts / trials for the procedure will be evaluated.

Conditions

• Geriatric Patients
• Efficacy, Self

Interventions

Type	Name	Description
PROCEDURE	median approach	spinal anesthesia with median approach; is the known classical method and it is aimed to reach the spinal area from the middle line.
PROCEDURE	paramedian approach	In spinal anesthesia with a paramedian approach, 1 cm lateral and 1 cm caudal to reach the spinal area.

Timeline

• Start date: 2018-06-13
• Primary completion: 2019-11-20
• Completion: 2020-02-22
• First posted: 2018-11-23
• Last updated: 2022-01-27

Locations

1 site across 1 country: Turkey (Türkiye)