RecruitingNot ApplicableNCT06241716

Ultrasound-assisted Versus Real-time Ultrasound-guided Combined Spinal-epidural Anesthesia in Elderly Patients

Ultrasound-assisted Versus Real-time Ultrasound-guided Combined Spinal-epidural Anesthesia Via a Paramedian Approach in Elderly Patients: a Randomized Controlled Study

Sponsor

Tongji Hospital

Enrollment

96 participants

Start Date

Feb 20, 2024

Study Type

INTERVENTIONAL

Conditions

Ultrasound Therapy; Complications

Summary

This study aims to compare the clinical effects of ultrasound-assisted localization and real-time ultrasound-guided combined spinal-epidural anesthesia via paramedian approach in elderly patients

Eligibility

Min Age: 60 Years

Inclusion Criteria2

Elderly patients (≥ 60 years old);
ASA Grade I to III.

Exclusion Criteria5

Severe obesity (BMI>35kg/m2);
Spinal deformity or surgical history;
Allergic to local anesthetics;
There are coagulation disorders;
Communication barriers

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Interventions

PROCEDUREUltrasound-assisted localization, US-AS

In the US-AS group, ultrasonic prescan to determine the best intervertebral space, best puncture Angle and best puncture depth. The optimal puncture section considered by the operator was selected to record the best gap, puncture Angle and depth.

PROCEDUREReal-time ultrasound guidance, US-RTG

In the US-RTG group, the optimal puncture section considered by the operator was selected and recorded directly in the plane of the paracentral transverse section, out of the plane of the paracentral sagittal section or in the plane of the paracentral sagittal section for real-time ultrasound guided lumbar epidural anesthesia.