- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05115591
Ultrasound Predictors of Difficult Spinal Anesthesia (SPINAL-US)
November 11, 2021 updated by: Giuseppe Pascarella, Campus Bio-Medico University
The Use of Ultrasound to Predict a Difficult Spinal Anesthesia: a Prospective Single-blind Observational Study
This prospective observational study aims to investigate about the efficacy of spine ultrasound in predicting difficult spinal anesthesia
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Actual)
100
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Roma, Italy
- Università Campus Biomedico
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients undergoing spinal anesthesia for elective orthopedic and urologic surgery
Description
Inclusion Criteria:
- Patients undergoing spinal anesthesia for elective surgery
- ASA physical status score < 4
Exclusion Criteria:
- Contraindications to regional anesthesia
- ASA physical status score ≥ 4
- Patient's refusal or inability to sing the informed consent
- Previous spine surgery affecting the intervertebral space chosen for spinal anesthesia
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ultrasound View
Time Frame: 10 minutes
|
Ultrasound visibility of Dura Mater complexes on the intervertebral space chosen for spinal anesthesia
|
10 minutes
|
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Difficulty in performing spinal anesthesia
Time Frame: 20 minutes
|
Difficult spinal anesthesia includes: failure, procedure lasting more than 400 seconds from the insertion of the needle to the deliquoration; a number of needle replacements greater than 10; a change of the clinician practicing spinal anesthesia.
|
20 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Failure Rate
Time Frame: 20 minutes
|
Failed Spinal Anesthesia
|
20 minutes
|
|
Duration
Time Frame: 20 minutes
|
Spinal anesthesia duration (expressed in seconds) from the insertion of the needle to the deliquoration
|
20 minutes
|
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Spinal needle replacements
Time Frame: 20 minutes
|
Number of needle replacements
|
20 minutes
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Felice E Agrò, Prof., Campus Biomedico of Rome
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Chin KJ, Ramlogan R, Arzola C, Singh M, Chan V. The utility of ultrasound imaging in predicting ease of performance of spinal anesthesia in an orthopedic patient population. Reg Anesth Pain Med. 2013 Jan-Feb;38(1):34-8. doi: 10.1097/AAP.0b013e3182734927.
- Weed JT, Taenzer AH, Finkel KJ, Sites BD. Evaluation of pre-procedure ultrasound examination as a screening tool for difficult spinal anaesthesia*. Anaesthesia. 2011 Oct;66(10):925-30. doi: 10.1111/j.1365-2044.2011.06834.x. Epub 2011 Jul 25.
- Del Buono R, Pascarella G, Costa F, Terranova G, Leoni ML, Barbara E, Carassiti M, Agro FE. Predicting difficult spinal anesthesia: development of a neuraxial block assessment score. Minerva Anestesiol. 2021 Jun;87(6):648-654. doi: 10.23736/S0375-9393.20.14892-2. Epub 2020 Dec 16.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 5, 2021
Primary Completion (Actual)
September 15, 2021
Study Completion (Actual)
September 15, 2021
Study Registration Dates
First Submitted
October 30, 2021
First Submitted That Met QC Criteria
October 30, 2021
First Posted (Actual)
November 10, 2021
Study Record Updates
Last Update Posted (Actual)
November 18, 2021
Last Update Submitted That Met QC Criteria
November 11, 2021
Last Verified
November 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 19.21 OSS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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