Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Spinal anesthesia (SA) is frequently used as anesthesia in many surgeries such as lower abdominal, inguinal, urogenital, rectal and lower extremities.
Conventional median approach (MA) is preferred more frequently, although MA or paramedian approach (PA) is used in SA. Especially in geriatric patients due to degenerative changes Although we are told that degenerative changes are less affected in PA during SA in the geriatric age group, few studies have been conducted on the subject and we aimed to evaluate the superiority of the two methods.
In our study, 100 cases were planned to be evaluated prospectively. Patients scheduled for surgery under spinal anesthesia will undergo routine spinal preparation. After routine motorization, patients will be treated with MA or PA.
MA will be performed in a conventional manner and PA will be performed by adding 1 cm lateral and 1 cm caudal from the planned vertebral space to 10-15 degree medial and cephal.
If one of the patients with MA or PA fails, despite three attempts, the other method will be tried by another specialist. If the procedure fails or there are not enough blocks, a different anesthesia method will be applied.
The data of the patients included in the study were evaluated by a different researcher other than the SA physician; demographic data of the cases, type of operation, MA or PA in SA and the number of repeated attempts / trials for the procedure will be evaluated.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| median approach | Active Comparator | Spinal anesthesia will be performed with a conventional median approach |
|
| paramedian approach | Active Comparator | Spinal anesthesia will be applied with a paramedian approach. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| median approach | Procedure | spinal anesthesia with median approach; is the known classical method and it is aimed to reach the spinal area from the middle line. |
|
| Measure | Description | Time Frame |
|---|---|---|
| spinal needle touches the spinal bone | The ability of getting a successful spinal anesthesia with a single skin puncture and no needle redirection. | during the procedure of spinal anesthesia |
| Number of repeated attempts (attempts): | The ability of getting a successful spinal anesthesia with a single skin puncture and no needle redirection. | during the procedure of spinal anesthesia |
| duration of procedure | In spinal anesthesia, the time to reach the skin and the spinal area will be evaluated. | during the procedure of spinal anesthesia |
| Measure | Description | Time Frame |
|---|---|---|
| success rate of spinal needle insertion | The ability of getting a successful spinal anesthesia with a single skin puncture regardless of needle redirection. | during the procedure of spinal anesthesia |
| Complications of the procedure |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Hülya Kılıç Yılmaz | Trabzon Kanuni Eğitim araştırma Hastanesi | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| TRABZON | Yomra | 61500 | Turkey (Türkiye) |
Not provided
| Label | URL |
|---|---|
| 'Comparison of Epidrum, Epi-jet, and Loss of Resistance Syringe Techniques for Identifying the Epidural Space in Obstetric Patients' | View source |
| 'Paramedian technique of spinal anesthesia in elderly patients for hip fracture surgery'. | View source |
Not provided
stated that the personal data will not be shared in the participant consent form in the study design.
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of this study was to evaluate the success rate of median and paramedian approach in spinal anesthesia in geriatric patients, number of trials, number of attempts at another interval due to failure, duration of procedure, patient comfort, change to other method in case of failure and success rate. In the study, two groups were formed: the median approach and the paramedian approach.
Not provided
Not provided
the number of files from the volunteer participants were grouped into one group and the ones with double file numbers were included in the other group.
participants do not know which group of patients to be in. Only practitioners know about the procedure.
|
| paramedian approach | Procedure | In spinal anesthesia with a paramedian approach, 1 cm lateral and 1 cm caudal to reach the spinal area. |
|
complications of spinal anesthesia will be evaluated, during spinal anesthesia and during the first week
| during the procedure of spinal anesthesia and 1 week after spinal anesthesia |