Comparison of Thoracic Epidural Pressure in the Prone and Lateral Decubitus Position

NCT ID: NCT03128788

Last Updated: 2018-03-07

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-02

Study Completion Date

2018-02-02

Brief Summary

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It is reported that the distribution of contrast medium had an obvious correlation with the extent of sensory analgesia after injection of LA. Our previous study showed that different posture (prone vs. lateral decubitus) resulted in different degree of contrast medium spread. We supposed that differences of epidural pressure between diverse postures might be one factor contributing those differences of epidurography.

This study was designed to compare the epidural pressure and extent of spread of epidurography between prone and lateral decubitus position

Detailed Description

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It is known that postoperative pain after thoracotomy or lobectomy is very severe, therefore, intraoperative or postoperative pain management using continuous thoracic epidural catheterization is suggested good option to prevent this potential complication.

The spread of local anesthetics is influenced by various factors including volume, location of needle insertion, speed of injection, patient position, age, weight and height. However, there are few studies about the effect of different patient position affeting the epidural pressure and the extent of spread of contrast medium during thoracic epidural catheterization.

Studies of lumbar epidural blockade have shown that lateral position can produce 0-3 segment more to the dependent position compared to the supine position. When the same amount of local anesthetic was injected in supine of sitting position, the most cephalad level of spread was indifferent. Recent studies showed that neck flexion demonstrated significant cephalad spread of contrast dye in high thoracic epidural blockade. The purpose of this study was to compare and evaluate the changes of epidural pressure with extent of spread of contrast medium between different posture

Conditions

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Thoracic Epidural Injection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Active Comparator: supine position

Active Comparator: supine position thoracic epidural catheterization with supine position

Group Type ACTIVE_COMPARATOR

thoracic epidural catheterization

Intervention Type PROCEDURE

thoracic epidural catheterization thoracic epidural catheterization for the management of postoperative pain

Active Comparator: flexed lateral position

Active Comparator: flexed lateral position thoracic epidural catheterization with flexed lateral position

Group Type ACTIVE_COMPARATOR

thoracic epidural catheterization

Intervention Type PROCEDURE

thoracic epidural catheterization thoracic epidural catheterization for the management of postoperative pain

Interventions

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thoracic epidural catheterization

thoracic epidural catheterization thoracic epidural catheterization for the management of postoperative pain

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* lung cancer
* liver cancer
* stomach cancer
* pancreas cancer

Exclusion Criteria

* coagulopathy
* infection
* previous spine fusion at thoracic level
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Keimyung University Dongsan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Ji Hee Hong

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ji Hee Hong, PhD

Role: PRINCIPAL_INVESTIGATOR

Keimyung University

Locations

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Ji Hee Hong

Daegu, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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2016-12-048

Identifier Type: -

Identifier Source: org_study_id

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