Spinal AnesthesiaIMRAN-LPNCT07625397
Imran Technique for Spinal Anesthesia and Lumbar Puncture
A study testing Conventional Sitting Position and Imran Technique in people with Spinal Anesthesia and Lumbar Puncture, run by Wah Medical college , POF hospital at 1 site in Pakistan.
Trial summary
This quasi-experimental prospective clinical trial was conducted to compare the conventional sitting position with the Imran Technique, a novel ergonomic patient-positioning method, for spinal anesthesia and lumbar puncture. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Spinal Anesthesia, Lumbar Puncture, Patient Positioning
- What is being tested?
- Conventional Sitting Position and Imran Technique
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 1 sitePakistan
- Study dates
- 2 Mar 2026to 31 Mar 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult participants aged 18 to 65 years
- Participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture
- Participants medically suitable for spinal anesthesia or lumbar puncture
- Participants able to assume and maintain the assigned procedural position
- Participants who provided written informed consent
Who cannot join
- Age below 18 years or above 65 years
- Previous spinal surgery
- Significant spinal deformity
- Local infection at the puncture site
- Coagulopathy or bleeding disorders
- Raised intracranial pressure
Show all 9Show fewer
- Severe hemodynamic instability
- Inability to maintain the assigned procedural position
- Refusal to participate or inability to provide informed consent
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Wah Medical College, POF Hospital Wah cantt
Wah, Punjab Province, 4070
About this study
Official title: Imran's Approach: A Quasi-Experimental Prospective Comparative Study of an Alternative Positioning Technique for Spinal Anesthesia and Lumbar Puncture
This quasi-experimental prospective clinical trial was conducted to compare the conventional sitting position with the Imran Technique, a novel ergonomic patient-positioning method, for spinal anesthesia and lumbar puncture. A total of 200 adult participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture were allocated into two groups. The study aimed to evaluate procedural success, procedural efficiency, patient comfort, operator ergonomics, and procedure-related complications associated with the two positioning techniques.
Read the detailed description
This quasi-experimental prospective clinical trial was designed to compare the conventional sitting position and the Imran Technique during spinal anesthesia and lumbar puncture procedures. Adult participants aged 18 to 65 years who required spinal anesthesia for surgical procedures or diagnostic lumbar puncture were enrolled and allocated into two groups.
Participants in the control group underwent the procedure using the conventional sitting position, while participants in the intervention group underwent the procedure using the Imran Technique. The primary outcome measure was first-attempt procedural success. Secondary outcome measures included total procedural time, positioning-to-needle insertion time, number of needle attempts, needle redirections, intervertebral space changes, overall procedural success, need for operator assistance, patient comfort, ability to maintain position, operator strain, accessibility of the intervertebral space, and procedure-related complications.
The study was conducted at the Intensive Care Unit of the Department of Anaesthesiology, POF Hospital, Wah Cantt, Pakistan, following Institutional Review Board approval and written informed consent procedures.
- Conditions
- Spinal Anesthesia, Lumbar Puncture, Patient Positioning
- Being tested
- Conventional Sitting Position, Imran Technique
- Keywords
- Imran Technique, Spinal Anesthesia, Lumbar Puncture, Patient Positioning, Ergonomics, Procedural Success, Anesthesia Technique
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional Sitting PositionProcedure or surgery
Standard sitting patient positioning used for spinal anesthesia and lumbar puncture procedures.
Imran TechniqueProcedure or surgery
A novel ergonomic patient positioning technique for spinal anesthesia and lumbar puncture involving lateral operator positioning and assisted lumbar flexion to improve procedural access and success.
| Study group | Role | What they receive |
|---|---|---|
| Conventional Sitting Position | Active comparator | Participants underwent spinal anesthesia or lumbar puncture using the conventional sitting position according to standard institutional practice. Receives: Procedure: Conventional Sitting Position |
| Imran Technique | Experimental | Participants underwent spinal anesthesia or lumbar puncture using the Imran Technique, a novel ergonomic positioning method designed to improve lumbar flexion, operator ergonomics, and procedural access. Receives: Procedure: Imran Technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
First Attempt Procedural Success
Successful spinal anesthesia or lumbar puncture achieved with a single skin puncture on the first attempt.
Measured: During the procedure (up to 30 minutes)
Secondary outcomes (10)
Total Procedural Time
Total time required from patient positioning to successful completion of spinal anesthesia or lumbar puncture.
Measured: During the procedure (up to 30 minutes)
Number of Needle Attempts
Total number of skin puncture attempts required to successfully complete the procedure.
Measured: During the procedure
Needle Redirections
Number of needle redirections required during spinal anesthesia or lumbar puncture.
Measured: During the procedure
Intervertebral Space Changes
Number of intervertebral space changes required to successfully complete the procedure.
Measured: During the procedure
Overall Procedural Success
Successful completion of spinal anesthesia or lumbar puncture regardless of the number of attempts required.
Measured: During the procedure (up to 30 minutes)
Patient Comfort Assessed Using a 0-10 Numeric Rating Scale (NRS)
Participant comfort during positioning and spinal anesthesia/lumbar puncture was assessed using a 0-10 Numeric Rating Scale, where lower scores indicate greater comfort.
Measured: During the procedure
Ability to Maintain Position Assessed Using an Investigator-Defined 3-Category Scale
Participant ability to maintain the assigned procedural position was assessed using an investigator-defined 3-category scale: Easy, Moderate, or Difficult.
Measured: During the procedure
Operator Strain Assessed Using an Investigator-Defined 4-Category Ergonomic Scale
Operator physical strain during the procedure was assessed using an investigator-defined 4-category scale: None, Mild, Moderate, or Severe.
Measured: During the procedure
Accessibility of Intervertebral Space Assessed Using an Investigator-Defined 3-Category Operator Rating Scale
Accessibility of the intervertebral space was assessed by the operator using an investigator-defined 3-category scale: Easy, Acceptable, or Difficult.
Measured: During the procedure
Procedure-Related Complications
Occurrence of procedure-related events including paresthesia, bloody tap, hypotension, bradycardia, or procedural failure.
Measured: uring the procedure and immediately after procedure (up to 1 hour)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jun 2026
- Study start2 Mar 2026
- Primary completion31 Mar 2026
- Study completion31 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Spinal AnesthesiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Participants were allocated into two parallel groups to compare the conventional sitting position with the Imran Technique for spinal anesthesia and lumbar puncture.
- Masking
- None (open label)
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Wah Medical college , POF hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Imran Ul Haq, MBBS, FCPS, Principal investigator, Wah Medical College (NUMS) / POF Hospital Wah Cantt, Pakistan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07625397
- Sponsor's protocol ID
- WMC-IRB-157-2026
- Other IDs
- IRB Approval Number
- Acronym
- IMRAN-LP
- Status last verified
- Jun 2026
- First submitted
- 27 May 2026
- Last updated
- 4 Jun 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data that underlie the results reported in the published article, after de-identification.
Study at a glance
From the registry record, last updated by the sponsor on 4 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Imran's Approach: A Quasi-Experimental Prospective Comparative Study of an Alternative Positioning Technique for Spinal Anesthesia and Lumbar Puncture
- ClinicalTrials.gov ID
- NCT07625397
- Acronym / sponsor ID
- IMRAN-LP / WMC-IRB-157-2026
- Conditions
- Spinal Anesthesia, Lumbar Puncture, Patient Positioning
- Keywords
- Imran Technique, Spinal Anesthesia, Lumbar Puncture, Patient Positioning, Ergonomics, Procedural Success, Anesthesia Technique
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 200 participants (actual)
- Lead sponsor
- Wah Medical college , POF hospitalUniversity, hospital or other
- Study start
- 2 Mar 2026 (actual)
- Primary completion
- 31 Mar 2026 (actual)
- Study completion
- 31 Mar 2026 (actual)
- First posted
- 4 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This quasi-experimental prospective clinical trial was conducted to compare the conventional sitting position with the Imran Technique, a novel ergonomic patient-positioning method, for spinal anesthesia and lumbar puncture. A total of 200 adult participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture were allocated into two groups. The study aimed to evaluate procedural success, procedural efficiency, patient comfort, operator ergonomics, and procedure-related complications associated with the two positioning techniques.
Detailed description
This quasi-experimental prospective clinical trial was designed to compare the conventional sitting position and the Imran Technique during spinal anesthesia and lumbar puncture procedures. Adult participants aged 18 to 65 years who required spinal anesthesia for surgical procedures or diagnostic lumbar puncture were enrolled and allocated into two groups.
Participants in the control group underwent the procedure using the conventional sitting position, while participants in the intervention group underwent the procedure using the Imran Technique. The primary outcome measure was first-attempt procedural success. Secondary outcome measures included total procedural time, positioning-to-needle insertion time, number of needle attempts, needle redirections, intervertebral space changes, overall procedural success, need for operator assistance, patient comfort, ability to maintain position, operator strain, accessibility of the intervertebral space, and procedure-related complications.
The study was conducted at the Intensive Care Unit of the Department of Anaesthesiology, POF Hospital, Wah Cantt, Pakistan, following Institutional Review Board approval and written informed consent procedures.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were allocated into two parallel groups to compare the conventional sitting position with the Imran Technique for spinal anesthesia and lumbar puncture.
| Arm | Type | Receives |
|---|---|---|
| Conventional Sitting Position | Active comparator | Procedure: Conventional Sitting PositionParticipants underwent spinal anesthesia or lumbar puncture using the conventional sitting position according to standard institutional practice. |
| Imran Technique | Experimental | Procedure: Imran TechniqueParticipants underwent spinal anesthesia or lumbar puncture using the Imran Technique, a novel ergonomic positioning method designed to improve lumbar flexion, operator ergonomics, and procedural access. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Adult participants aged 18 to 65 years
- Participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture
- Participants medically suitable for spinal anesthesia or lumbar puncture
- Participants able to assume and maintain the assigned procedural position
- Participants who provided written informed consent
Key exclusion criteria (9 listed)
- Age below 18 years or above 65 years
- Previous spinal surgery
- Significant spinal deformity
- Local infection at the puncture site
- Coagulopathy or bleeding disorders
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Conventional Sitting PositionStandard sitting patient positioning used for spinal anesthesia and lumbar puncture procedures. | Procedure or surgery | Conventional Sitting Position |
| Imran TechniqueA novel ergonomic patient positioning technique for spinal anesthesia and lumbar puncture involving lateral operator positioning and assisted lumbar flexion to improve procedural access and success. | Procedure or surgery | Imran Technique |
Primary outcome
First Attempt Procedural Success
Time frame: During the procedure (up to 30 minutes)
Successful spinal anesthesia or lumbar puncture achieved with a single skin puncture on the first attempt.
10 secondary outcomes
Total Procedural Time
Time frame: During the procedure (up to 30 minutes)
Number of Needle Attempts
Time frame: During the procedure
Needle Redirections
Time frame: During the procedure
Intervertebral Space Changes
Time frame: During the procedure
Overall Procedural Success
Time frame: During the procedure (up to 30 minutes)
Patient Comfort Assessed Using a 0-10 Numeric Rating Scale (NRS)
Time frame: During the procedure
Ability to Maintain Position Assessed Using an Investigator-Defined 3-Category Scale
Time frame: During the procedure
Operator Strain Assessed Using an Investigator-Defined 4-Category Ergonomic Scale
Time frame: During the procedure
Accessibility of Intervertebral Space Assessed Using an Investigator-Defined 3-Category Operator Rating Scale
Time frame: During the procedure
Procedure-Related Complications
Time frame: uring the procedure and immediately after procedure (up to 1 hour)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Jun 2026.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie the results reported in the published article, after de-identification.
Related trials for Spinal Anesthesia
RecruitingObservational study
Prevalence of Pain During Cesarean Section
Cesarean Birth
Recruiting
Lateral QL Block vs Intrathecal Morphine for Cesarean Section
Anesthesia, Postoperative Pain
RecruitingPhase 4
Adding Dexmedetomidine or Clonidine to Spinal Anesthesia for Cesarean Delivery
Cesarean Delivery, Cesarean Delivery; Neuraxial Opioids
Not yet recruitingPhase 4
Remimazolam vs Propofol for Motor and Somatosensory Evoked Potentials in Spinal Tumor Surgery
Spinal Cord Neoplasms, Spinal Neoplasms
RecruitingObservational study
The Role of Preoperative Internal Jugular Vein Collapsibility and Perfusion Index in Predicting Hypotension After Spinal Anesthesia in Elective Cesarean Sections: A Prospective Observational Study
Postspinal Hypotension, Cesarean Birth
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Imran Ul Haq, MBBS, FCPS principal investigator
Wah Medical College (NUMS) / POF Hospital Wah Cantt, Pakistan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional Sitting Position and Imran Technique in people with Spinal Anesthesia and Lumbar Puncture, run by Wah Medical college , POF hospital at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
First Attempt Procedural Success (time frame: During the procedure (up to 30 minutes)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Jun 2026.