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This study will be conducted on 50 patients of ASA grade I and II aged from 25 to 55 years and presented for laparoscopic hysterectomy. Patients will be divided into two equal groups; group A control group for conventional epidural technique(n=25) and group B for 25G dural puncture epidural with 25G pencil point Whitacre spinal needle (n=25). Randomization will be done using computer generated number and concealed using sequentially numbered, sealed opaque envelope.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional Epidural Technique | Experimental |
| |
| Dural Puncture Epidural technique using pencil-point 25G Whitacre needle | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Epidural Technique | Procedure | Standard Lumbar Epidural Block using Touhy Epidural Needle (18G) at L2-3 inter-space and Epidural Catheter (20G) was inserted then bupivacaine 0.5% 15-20 ml with 50ug fentanyl was given. |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of bilateral sacral blockade | Sensory blockade was evaluated using a non-traumatic pinprick stimulus starting at the S2 dermatome and moving in a caudad direction (measured every 2 minutes) | Up to 30 minutes after local anesthetic injection |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Reham Ali Abdelrahman, M.D. | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesia, Surgical ICU, and Pain Management | Cairo | 11562 | Egypt |
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| Dural Puncture Epidural Technique using pencil-point 25G Whitacre needle | Procedure | 25G Dural Puncture Epidural Block at L2-3 inter-space then bupivacaine 0.5% 15-20 ml with 50ug fentanyl was given. |
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