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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group (1): spinal anesthesia with median approach | Active Comparator | patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques |
|
| Group (2): spinal anesthesia with paramedian approach | Active Comparator | patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group (1): spinal anesthesia with median approach | Procedure | patients undergoing orthopedic surgery will receive spinal anesthesia with median approach under ultrasound guided techniques |
| Measure | Description | Time Frame |
|---|---|---|
| The severity of back pain in patients that will receive spinal anesthesia by median versus paramedian approach | pain measurement by numerical rating scale (NRS) | 24 hours, 72 hours, and 1 week after spinal anesthesia. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Areej M Abd Elkader, Resident | Contact | 01288811379 | Mareej22@yahoo.com | |
| Ahmed E Abd Elrahman, Professor | Contact | 01118011611 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University Hospital | Recruiting | Sohag | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35907825 | Background | Zeng W, Shi Y, Zheng Q, Du S. Ultrasound-assisted modified paramedian technique for spinal anesthesia in elderly. BMC Anesthesiol. 2022 Jul 30;22(1):242. doi: 10.1186/s12871-022-01751-0. | |
| 29628579 | Background | Singh B, Sohal AS, Singh I, Goyal S, Kaur P, Attri JP. Incidence of Postspinal Headache and Low Backache Following the Median and Paramedian Approaches in Spinal Anesthesia. Anesth Essays Res. 2018 Jan-Mar;12(1):186-189. doi: 10.4103/aer.AER_139_17. |
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| ID | Term |
|---|---|
| D044382 | Population Groups |
| ID | Term |
|---|---|
| D003710 | Demography |
| D011154 | Population Characteristics |
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| Group (2): spinal anesthesia with paramedian approach | Procedure | patients undergoing orthopedic surgery will receive spinal anesthesia with paramedian approach under ultrasound guided techniques |
|
| 31005435 | Background | Wilson JM, Farley KX, Erens GA, Guild GN 3rd. General vs Spinal Anesthesia for Revision Total Knee Arthroplasty: Do Complication Rates Differ? J Arthroplasty. 2019 Jul;34(7):1417-1422. doi: 10.1016/j.arth.2019.03.048. Epub 2019 Mar 28. |