Clinical trials: Paramedian Spinal Anaesthesia
Spinal Anesthesia
Taylor's Approach vs Lumbar Approach for Spinal Anesthesia
Spinal anesthesia is a common technique for providing anesthesia for knee joint replacement surgery. The investigators wish to demonstrate that using a lower approach to spinal anesthetic (Taylor's approach of L5-S1) causes less…
- Trial name
- NCT02302378
- Testing
- Lumbar paramedian approach at L3-L4 interspace, Taylor's approach (paramedian approach at L5-S1 interspace)
- Where
- Canada
- Volunteers
- 30 people
- Sponsor
- University of British Columbia
Anesthesia, Spinal, Ultrasonography
Ultrasound-assisted Versus Conventional Landmark-guided Paramedian Spinal Anesthesia in Elderly Patients
Multiple passes and attempts during spinal anesthesia might be associated with a greater incidence of paraesthesia, postdural puncture headache, and spinal hematoma.
- Trial name
- NCT03316352
- Testing
- Ultrasound-assisted paramedian technique spinal anesthesia, Landmark-guided paramedian technique spinal anesthesia, Ultrasound
- Where
- South Korea
- Volunteers
- 80 people
- Sponsor
- Seoul National University Hospital
Post-Dural Puncture Headache, Headache After Spinal Puncture
Comparison of Post-Dural Puncture Headache After Spinal Anesthesia Using Median Versus Paramedian Approach
This randomized controlled trial will compare two commonly used techniques for performing spinal anesthesia, the median (midline) approach and the paramedian (lateral) approach, in adult patients undergoing elective orthopedic or…
- Trial name
- NCT07436403
- Testing
- Spinal anesthesia using median approach (midline), Spinal anesthesia using paramedian approach
- Where
- Pakistan
- Volunteers
- 142 people
- Sponsor
- Mayo Hospital Lahore
Post-Dural Puncture Headache, Hypotension
Different Approaches of Spinal Anesthesia in Patients Undergoing Cesarean Section
The goal of this clinical trial is to compare different approaches of spinal anesthesia in pregnant females who are having cesarean section.
- Conditions
- Post-Dural Puncture Headache, Hypotension, Spinal Shock, Hematoma
- Trial name
- NCT05637645
- Testing
- Midline Approach, Paramedian Approach, Taylors approach
- Where
- 4 sites in Pakistan
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Bahawal Victoria Hospital Bahawalpur
Wounds and Injuries
Real-Time Ultrasound-guidance Facilitates Paramedian Spinal Anaesthesia
The purpose of this study is to compare the clinical efficacy of real-time ultrasound guidance on spinal anesthesia vs the traditional anatomical landmark technique, by comparing success rate of spinal needle insertion, success…
- Trial name
- NCT02830035
- Testing
- Real-time Ultrasound-guided, Anatomical Landmark Technique
- Where
- Malaysia
- Volunteers
- 60 people
- Sponsor
- Universiti Sains Malaysia
Anaesthesia
Ultrasound - Guided Paramedian Techniques in Spinal Anesthesia
Multiple passes and attempts while administering spinal anesthesia are associated with a greater incidence of post dural-puncture headache, paraesthesia and spinal hematoma.
- Trial name
- NCT02171975
- Testing
- pre-procedure ultrasound guided paramedian spinal, Conventional landmark guided midline spinal anaesthetic
- Where
- Ireland
- Volunteers
- 100 people
- Sponsor
- Cork University Hospital
Spinal Anesthesia
Ultrasound Guided Midline vs Landmark Paramedian Continous Spinal Anesthesia in the Elderly
Former clinical studies have reported the superiority of the landmark guided paramedian approach above the classical landmark guided midline approach for the continuous spinal anesthesia especially in the elderly.
- Trial name
- NCT06740994
- Testing
- conventional landmark paramedian technique, preprocedural ultrasound guided midline technique
- Where
- Tunisia
- Volunteers
- 110 people
- Sponsor
- University Tunis El Manar
Anesthesia, Spinal, Ultrasonography
Ultrasound Image Study for Ultrasound-assisted Paramedian Spinal Anesthesia
This prospective observational study aimed to obtain ultrasound images for ultrasound-assisted paramedian spinal anesthesia and identify the differences according to sidedness of approach, position and age.
- Conditions
- Anesthesia, Spinal, Ultrasonography, Sidedness, Position
- Trial name
- NCT03929874
- Where
- South Korea
- Volunteers
- 40 people
- Sponsor
- Seoul National University Hospital
Paramedian Spinal Anaesthesia, Real Time Ultrasound Guiding
Paramedian Spinal Anaesthesia : Comparison Between Land-mark Guided Technique and Real-time Ultrasound Guided Technique.
To identify the value of using the ultrasound in applying a commonly used regional anaesthetic procedure (spinal anaesthesia) when compared with the conventional landmark guided approach, regarding the efficiency of the…
- Trial name
- NCT02767076
- Testing
- conventional paramedian spinal anesthesia, ultrasound guided paramedian spinal anesthesia
- Where
- Egypt
- Volunteers
- 110 people, healthy volunteers welcome
- Sponsor
- Cairo University
Realtime Ultrasound
Real Time Ultrasound Guided Spinal Anesthesia in Elderly Patients
In this prospective randomized observational study, investigators aim to compare the efficacy and procedural outcomes of real-time ultrasound guided parasagittal oblique (RTU-PO) and real-time ultrasound guided paramedian…
- Trial name
- NCT04214574
- Testing
- Parasagittal oblique technique (Ultrasound), Paramedian tranverse technique (Ultrasound)
- Where
- Lebanon
- Volunteers
- 77 people, healthy volunteers welcome
- Sponsor
- American University of Beirut Medical Center
Anesthesia; Adverse Effect, Spinal and Epidural
Paramedian Incidence Angles in Spinal Anaesthesia
The objective here is to quantify the number of punctures and redirections during routine practice in the anesthesiology department, verify the final angle of incidence and the sac-skin distance by ultrasound, and determine the…
- Trial name
- NCT07210892
- Testing
- Measurement of needle insertion angles
- Where
- Spain
- Volunteers
- 90 people, healthy volunteers welcome
- Sponsor
- Consorci Sanitari de Terrassa
Anesthesia; Functional
Ultrasound-assisted Spinal Anesthesia in Midline Versus Paramedian Approach in Adult Orthopedic Surgery
This study aims to compare between the two methods (midline and paramedian approach of spinal anesthesia guided by ultrasound) by the number of needle passes required to successful dural puncture.
- Trial name
- NCT07047469
- Testing
- Group (1): spinal anesthesia with median approach, Group (2): spinal anesthesia with paramedian approach
- Where
- Egypt
- Volunteers
- 110 people
- Sponsor
- Sohag University
Anesthesia, Spinal, Ultrasonography
Midline vs. Paramedian Approaches for US-assisted Spinal Anesthesia
Ultrasound has emerged as an useful tool for neuraxial blockade. The aim of this study is to compare the efficacy and safety between the midline approach and paramedian approach for ultrasound-assisted spinal anesthesia in adult…
- Trial name
- NCT03491943
- Testing
- ultrasound-assisted midline approach, ultrasound-assisted paramedian approach
- Where
- South Korea
- Volunteers
- 112 people
- Sponsor
- Seoul National University Hospital
Geriatric Patients, Efficacy, Self
Median and Paramedian Approach in Spinal Anesthesia
Spinal anesthesia (SA) is frequently used as anesthesia in many surgeries such as lower abdominal, inguinal, urogenital, rectal and lower extremities.
- Trial name
- NCT03750877
- Testing
- median approach, paramedian approach
- Where
- Turkey (Türkiye)
- Volunteers
- 100 people
- Sponsor
- Trabzon Kanuni Education and Research Hospital
Anaesthesia
Landmark Guided Midline Versus Pre-procedural Ultrasound Guided Paramedian at L5S1 for Spinal Anaesthesia
Spinal anesthesia is widely performed using a surface landmark based 'blind' technique. Multiple passes and attempts while administering spinal anesthesia are associated with a greater incidence of post dural-puncture headache…
- Trial name
- NCT02189681
- Testing
- Conventional landmark guided midline spinal anaesthesia, pre-procedure ultrasound guided L5S1 paramedian spinal, spinal anaesthesia
- Where
- Ireland
- Volunteers
- 120 people
- Sponsor
- Cork University Hospital
Spinal Anesthesia, Ultrasound Assistance
Spinal Anesthesia Using Ultrasound Assistance Versus Conventional Palpation in Morbidly Obese Patients
The aim of this study is to compare the paramedian approach for spinal anesthesia using ultrasound assistance (USAS) versus conventional palpation in morbidly obese patients undergoing elective surgeries.
- Conditions
- Spinal Anesthesia, Ultrasound Assistance, Obesity, Morbid
- Trial name
- NCT05240846
- Testing
- Paramedian conventional palpation group, Ultrasound assistance paramedian spinal group
- Where
- Egypt
- Volunteers
- 64 people
- Sponsor
- Kafrelsheikh University
Ultrasound Therapy; Complications
Ultrasound-assisted Versus Real-time Ultrasound-guided Combined Spinal-epidural Anesthesia in Elderly Patients
This prospective randomized controlled trial aims to compare the clinical efficacy and safety of real-time ultrasound guidance (US-RTG) versus static ultrasound-assisted mapping (US-AS) for combined spinal-epidural anesthesia…
- Trial name
- NCT06241716
- Testing
- Ultrasound-assisted localization, US-AS, Real-time ultrasound guidance, US-RTG
- Where
- China
- Volunteers
- 96 people
- Sponsor
- Tongji Hospital