Clinical trial NCT05893264: Sonographic Predictors of Difficult Epidural Placement.
Official title: Sonographic Predictors of Difficult Epidural Placement.
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Anesthesia
Safety Issues
Epidural; Anesthesia, Headache
Keywords: technique
epidural
predictors
placement
Lead sponsor: University of Padova
Sponsor class: OTHER
First posted: 2023-06-07
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All adult patients undergoing surgery with epidural analgesia or anesthesia

Brief summary: Epidural placement is a commonly used procedure for pain management during labor, delivery, and surgeries. However, epidural placement is often considered a technically challenging and complex procedure that requires a high level of skill and experience. In cases where the epidural is improperly placed or fails to produce effective analgesia, the discomfort and distress experienced by the patient may be heightened. Hence, the use of predictors, such as sonographic ones, may prove to be a valuable tool for healthcare professionals in the placement of epidurals, ultimately ensuring successful pain management for patients.

The present study aims to identify predictors of difficult epidural placement in patients undergoing surgery.


Eligibility criteria: Inclusion Criteria:

* Surgery with epidural placement
* Age \> 18 years

Exclusion Criteria:

* patient refusal

Primary outcomes:
measure: Incidence of difficult epidural placement
timeFrame: through study completion, an average of 2 year
Secondary outcomes:
measure: Total body weight (kg) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Age (years) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Height (cm) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Palpable spinous process (well, not well, not palpable) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Previous spine surgery (yes, no) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Anesthesiology experience (years) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Sonographic skin to spinous process distance(cm) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Sonographic spinous process to spinous process distance (cm)as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Sonographic skin to transverse process distance (cm) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
measure: Sonographic erector spine muscle group size (cm) as predictive parameter for difficult epidural placement
timeFrame: through study completion, an average of 2 year
Other outcomes:
Locations:
city: Padova
country: Italy
facility: University Hospital of Padova
state: Veneto
Study officials:
References: