Comparison of Successful Spinal Needle Placement Between Crossed Leg Sitting Position and Traditional Sitting Position
NCT ID: NCT02766829
Last Updated: 2016-05-10
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
211 participants
INTERVENTIONAL
2015-03-31
2015-10-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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CLSP Group
Those with cross leg sitting position: patients sit with both their knees flexed medially, hip flexed, resulting in pelvic leaning posteriorly and reducing lumbal lordosis.
Cross leg sitting position
Subjects were set on cross leg sitting position before spinal anesthesia begun.
TSP Group
Those with traditional sitting position: patient is positioned with her knees flexed 90o, both feet hanging of the bed and propped up by a chair, both arms hugging a pillow, adducted pelvic, maximum pelvic flexion were done to create maximal sagittal lumbal flexion.
Traditional sitting position
Subjects were set on traditional sitting position before spinal anesthesia begun.
Interventions
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Cross leg sitting position
Subjects were set on cross leg sitting position before spinal anesthesia begun.
Traditional sitting position
Subjects were set on traditional sitting position before spinal anesthesia begun.
Eligibility Criteria
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Inclusion Criteria
* subjects with ASA physical status I-III who were planned to undergo urology surgery with spinal anesthesia
* Subjects who have been explained about the study, have agreed to enroll and have signed the informed consent form
Exclusion Criteria
* subjects with relative and absolute contraindications to spinal anesthesia (coagulation disorders, thrombocytopenia, increases intracranial pressure, severe hypovolemia, severe heart valve disorders, local infection at the injection site, allergy toward local anesthetic agents, significant anatomical disorder of the spine, wound/scar on the lumbal area)
* subjects with body mass index (BMI) \> 32 kg/m2
Drop out criteria:
* subjects who requestes to drop out of the study
* subjects in need of emergency treatment during spinal anesthesia procedure
* subjects with more than nine times redirected spinal needle (failed spinal anesthesia procedure).
18 Years
60 Years
ALL
No
Sponsors
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Indonesia University
OTHER
Responsible Party
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Sidharta K. Manggala
Consultant, Anesthesiologist
Principal Investigators
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Sidharta K Manggala, Consultant
Role: PRINCIPAL_INVESTIGATOR
Indonesia University
Locations
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Cipto Mangunkusumo Central National Hospital
Jakarta, DKI Jakarta, Indonesia
Countries
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References
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Fettes PD, Jansson JR, Wildsmith JA. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009 Jun;102(6):739-48. doi: 10.1093/bja/aep096. Epub 2009 May 6.
Sprung J, Bourke DL, Grass J, Hammel J, Mascha E, Thomas P, Tubin I. Predicting the difficult neuraxial block: a prospective study. Anesth Analg. 1999 Aug;89(2):384-9. doi: 10.1097/00000539-199908000-00025.
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Fisher KS, Arnholt AT, Douglas ME, Vandiver SL, Nguyen DH. A randomized trial of the traditional sitting position versus the hamstring stretch position for labor epidural needle placement. Anesth Analg. 2009 Aug;109(2):532-4. doi: 10.1213/ane.0b013e3181ac6c79.
Soltani Mohammadi S, Hassani M, Marashi SM. Comparing the squatting position and traditional sitting position for ease of spinal needle placement: a randomized clinical trial. Anesth Pain Med. 2014 Apr 5;4(2):e13969. doi: 10.5812/aapm.13969. eCollection 2014 May.
Watanabe S, Kobara K, Ishida H, Eguchi A. Influence of trunk muscle co-contraction on spinal curvature during sitting cross-legged. Electromyogr Clin Neurophysiol. 2010 Apr-Jun;50(3-4):187-92.
Biswas BK, Agarwal B, Bhattarai B, Dey S, Bhattacharyya P. Straight versus flex back: Does it matter in spinal anaesthesia? Indian J Anaesth. 2012 May;56(3):259-64. doi: 10.4103/0019-5049.98772.
Shankar H, Rajput K, Murugiah K. Correlation between spinous process dimensions and ease of spinal anaesthesia. Indian J Anaesth. 2012 May;56(3):250-4. doi: 10.4103/0019-5049.98769.
Purepong N, Jitvimonrat A, Boonyong S, Thaveeratitham P, Pensri P. Effect of flexibility exercise on lumbar angle: a study among non-specific low back pain patients. J Bodyw Mov Ther. 2012 Apr;16(2):236-43. doi: 10.1016/j.jbmt.2011.08.001. Epub 2011 Aug 31.
Lin N, Li Y, Bebawy JF, Dong J, Hua L. Abdominal circumference but not the degree of lumbar flexion affects the accuracy of lumbar interspace identification by Tuffier's line palpation method: an observational study. BMC Anesthesiol. 2015 Jan 21;15:9. doi: 10.1186/1471-2253-15-9. eCollection 2015.
Kopacz DJ, Neal JM, Pollock JE. The regional anesthesia "learning curve". What is the minimum number of epidural and spinal blocks to reach consistency? Reg Anesth. 1996 May-Jun;21(3):182-90.
Charuluxananan S, Kyokong O, Somboonviboon W, Pothimamaka S. Learning manual skills in spinal anesthesia and orotracheal intubation: is there any recommended number of cases for anesthesia residency training program? J Med Assoc Thai. 2001 Jun;84 Suppl 1:S251-5.
Smith MP, Sprung J, Zura A, Mascha E, Tetzlaff JE. A survey of exposure to regional anesthesia techniques in American anesthesia residency training programs. Reg Anesth Pain Med. 1999 Jan-Feb;24(1):11-6. doi: 10.1016/s1098-7339(99)90159-1.
Whitty R, Moore M, Macarthur A. Identification of the lumbar interspinous spaces: palpation versus ultrasound. Anesth Analg. 2008 Feb;106(2):538-40, table of contents. doi: 10.1213/ane.0b013e31816069d9.
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Snijders CJ, Hermans PF, Kleinrensink GJ. Functional aspects of cross-legged sitting with special attention to piriformis muscles and sacroiliac joints. Clin Biomech (Bristol). 2006 Feb;21(2):116-21. doi: 10.1016/j.clinbiomech.2005.09.002. Epub 2005 Nov 2.
Other Identifiers
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IndonesiaUAnes007
Identifier Type: -
Identifier Source: org_study_id
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