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
100 participants
INTERVENTIONAL
2018-06-13
2020-02-22
Brief Summary
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Conventional median approach (MA) is preferred more frequently, although MA or paramedian approach (PA) is used in SA. Especially in geriatric patients due to degenerative changes Although we are told that degenerative changes are less affected in PA during SA in the geriatric age group, few studies have been conducted on the subject and we aimed to evaluate the superiority of the two methods.
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Detailed Description
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MA will be performed in a conventional manner and PA will be performed by adding 1 cm lateral and 1 cm caudal from the planned vertebral space to 10-15 degree medial and cephal.
If one of the patients with MA or PA fails, despite three attempts, the other method will be tried by another specialist. If the procedure fails or there are not enough blocks, a different anesthesia method will be applied.
The data of the patients included in the study were evaluated by a different researcher other than the SA physician; demographic data of the cases, type of operation, MA or PA in SA and the number of repeated attempts / trials for the procedure will be evaluated.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
participants do not know which group of patients to be in. Only practitioners know about the procedure.
Study Groups
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median approach
Spinal anesthesia will be performed with a conventional median approach
median approach
spinal anesthesia with median approach; is the known classical method and it is aimed to reach the spinal area from the middle line.
paramedian approach
In spinal anesthesia with a paramedian approach, 1 cm lateral and 1 cm caudal to reach the spinal area.
paramedian approach
Spinal anesthesia will be applied with a paramedian approach.
median approach
spinal anesthesia with median approach; is the known classical method and it is aimed to reach the spinal area from the middle line.
paramedian approach
In spinal anesthesia with a paramedian approach, 1 cm lateral and 1 cm caudal to reach the spinal area.
Interventions
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median approach
spinal anesthesia with median approach; is the known classical method and it is aimed to reach the spinal area from the middle line.
paramedian approach
In spinal anesthesia with a paramedian approach, 1 cm lateral and 1 cm caudal to reach the spinal area.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* elective surgery under spinal anesthesia
* those who agreed to participate in the study
* Those with American Society of Anesthesiologists (ASA) 1-3
Exclusion Criteria
* who are allergic to a drug used in the study
* had contraindications for spinal anesthesia,
* drug addiction
* obese patients (Body Mass Index ≥ 35)
* migraine and chronic headache
* Spinal anesthesia can not be performed in more than 3 trials, but passed to the general anesthesia
* those who do not agree to participate in the study
70 Years
ALL
No
Sponsors
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Trabzon Kanuni Education and Research Hospital
OTHER
Responsible Party
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Seyfi KARTAL, MD
Assistant professor
Principal Investigators
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Hülya Kılıç Yılmaz
Role: STUDY_CHAIR
Trabzon Kanuni Eğitim araştırma Hastanesi
Locations
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TRABZON
Yomra, , Turkey (Türkiye)
Countries
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Related Links
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'Comparison of Epidrum, Epi-jet, and Loss of Resistance Syringe Techniques for Identifying the Epidural Space in Obstetric Patients'
'Paramedian technique of spinal anesthesia in elderly patients for hip fracture surgery'.
Other Identifiers
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+90
Identifier Type: -
Identifier Source: org_study_id
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