Accuracy of the Thoracic Epidural Catheter Insertion Confirmed by Fluoroscopic Imaging

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2018-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

In patients scheduled for thoracic surgery or upper abdominal surgery, investigators will determine the accuracy of the epidural catheter placement by using fluoroscopic imaging.

Previous studies have drawn contradictory conclusions based the potential flaw assumption of 100% success rate for correct epidural catheter placement in the thoracic region.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Early or Late Foley Removal After Thoracotomy

NCT01611519

Urinary Tract Infections

COMPLETED

Presence of the Arcade of Struthers on Preoperative Ultrasound

NCT04658511

Cubital Tunnel Syndrome

UNKNOWN NA

Skin to Adductor Canal Distance in Various Positions

NCT03562559

Knee Arthritis

COMPLETED

MMG vs. EMG for Cortical Breach Detection

NCT05352048

Low Back Disorder

COMPLETED NA

Mechanomyography for Predictor of Prognosis in CuTS and PND Patients

NCT04322448

Cubital Tunnel Syndrome Peroneal Nerve Entrapment

COMPLETED

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Thoracic epidural analgesia (TEA) is a key tool in management of pain after thoracic or upper abdominal surgery. TEA optimizes pain relief while minimizing the use of systemic opioids, thus reducing the duration of postoperative ileus. TEA also attenuates surgical stress response and allows for early mobilization. Despite all the touted benefits of TEA, much controversy limits its use for post surgical pain due to fear of exceedingly rare, if not entirely theoretical complication of epidural hematoma.

Beneficial effects of TEA require that catheter placement and infusate be targeted at the thoracic segments innervating injured skin, muscle, and bone from which pain input originates. The purpose of this study is to determine the accuracy of thoracic epidural continuous catheter insertion by using fluoroscopic imaging.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Patients Undergoing Thoracic Surgery Patients Undergoing Upper Abdominal Surgery

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Thoracic epidural catheter insertion

Fluoroscopic imaging. For patients undergoing thoracic epidural analgesia (TEA) with catheter placement for pain associated with thoracic or upper abdominal surgery

Group Type OTHER

Fluoroscopic imaging

Intervention Type PROCEDURE

Contrast media (5 mL) will be injected through the catheter and fluoroscopic images will be obtained and saved in the lateral and antero-posterior projections.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Fluoroscopic imaging

Contrast media (5 mL) will be injected through the catheter and fluoroscopic images will be obtained and saved in the lateral and antero-posterior projections.

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 18- 80 years old patients
* Patients undergoing thoracic surgery
* Patients undergoing upper abdominal surgery

Exclusion Criteria

* Severe Aortic Valve stenosis
* Active Neurologic Disease
* Allergy to lidocaine or bupivacaine
* Allergy to iodine-based contrast
* Cutaneous Disorders at epidural insertion site
* Preoperative impaired coagulation status
* Pregnancy

Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No