Ultrasound Epidural Technique (US_epidural)

  • STATUS
    Recruiting
  • days left to enroll
    67
  • participants needed
    110
  • sponsor
    Mansoura University
Updated on 10 July 2022

Summary

Epidural analgesia for abdominal surgeries provides numerous advantages for both neonates and children. The anatomical identification of the intervertebral space to access the epidural space is not constantly easy this is due uncertainty of the direction of the needle angle and the difficulty to estimate the epidural depth in spite of the skill of the operator. This can lead to more puncture attempts, inducing more pain or discomfort and even failure of epidural access.

Pre-procedure neuraxial ultrasound (US) imaging facilities the identification of the chosen intervertebral space, the depth of the epidural space and so the selection of best point and angle for the needle insertion

Description

The aim of this study is to evaluate the efficacy of prepuncture ultrasonography to facilitate epidural block in pediatric patients undergoing elective urological operations compared with the conventional anatomical landmark technique

Details
Condition Pediatric- Epidural Analgesia -Palpation-ultrasound
Treatment ultrasound
Clinical Study IdentifierNCT05331157
SponsorMansoura University
Last Modified on10 July 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Pediatric patients aged from 1 to 12 years old
Both genders
American Society of Anesthesiologists (ASA) physical status I,II, III
Scheduled for open midabdominal urological surgeries under general anesthesia

Exclusion Criteria

Pediatric patients aged less than 1 or more than 12 years old
American Society of Anesthesiologists (ASA) physical status Iv
Parents' refusal to participate in the study
Any contraindication to epidural block (as severe infection at the puncture site, coagulopathy or hemodynamically unstable patients)
Neuromuscular diseases
Severe spinal deformity
History of allergy to the anesthetic drugs
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