'' Abdominal Crunch Positions With the Others in Terms of Interspinous Distance in Adult Patients ''

NCT ID: NCT04092478

Last Updated: 2020-09-16

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2019-10-23
• Study Completion Date: 2020-01-31

Brief Summary

The most important factor for ease of operation and safety during spinal anesthesia is the determination of the spinal space. Increasing lumbar flexion facilitates access to the spinal space. Traditionally, patients undergo spinal anesthesia with lateral or sitting lumbar flexion.

In a study by Martha L Walker et al., The maximum extension of the knees, adduction of the hip, and a modified sitting position with the back flexion, ie, the abdominal crunch position, were found to be effective in increasing the flexion of the lumbar spine.

In our study, we aimed to measure the interspinal distance with the abdominal crunch position with the help of ultrasonography (USG) and to compare the interspinal distance with the measurements obtained in traditional positions (sitting position and lateral decubitus).

Detailed Description

Interspinal distance will be measured by ultrasonography by 3 different positions, respectively, for the patients who will undergo elective surgery and meet the study criteria and give voluntary consent.

This evaluation process is to record and compare the measurement results. Patients will not undergo any interventional procedures.

Patients who have difficulty in positioning due to hip, femur, knee and tibial fractures or arthrosis and who cannot be communicated will not be included in the study.

One hundred of patients over the age of 18 who will undergo elective surgery will be included in the study.

Conditions

Anesthesia, Spinal

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Traditional Sitting Position

We are going to use the Traditional Sitting Position on each patients.

Spinal Anesthesia Position

Intervention Type: OTHER

The patient positions during the spinal anesthesia

Lateral Decubitis Position

We are going to use the Lateral Decubitis Position on each patients.

Spinal Anesthesia Position

Intervention Type: OTHER

The patient positions during the spinal anesthesia

Abdominal Crunch Position

We are going to use the Abdominal Crunch Position on each patients.

Spinal Anesthesia Position

Intervention Type: OTHER

The patient positions during the spinal anesthesia

Interventions

Spinal Anesthesia Position

The patient positions during the spinal anesthesia

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients over the age of 18
• Undergo elective surgery

Exclusion Criteria

• Patients with vertebral anomaly
• Patient with not communicated

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Konya Meram State Hospital

OTHER

Sponsor Role: lead

Responsible Party

Yasin TİRE

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Yasin Tire, MD

Role: PRINCIPAL_INVESTIGATOR

Konya Meram State Hospital

Locations

Yasin Tire

Konya, Meram, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

YTire

Identifier Type: -

Identifier Source: org_study_id