Pendant Position and Traditional Sitting Position for Successful Spinal Puncture in Spinal Anaesthesia

Indonesia University308 enrolled

Overview

The aim of this study was to compare the successful spinal puncture among patients with pendant position in comparison with those who used traditional sitting position for caesarean section.

Approval from Ethical Committee of Faculty of Medicine University of Indonesia was acquired prior conducting the study. Subjects were given informed consent before enrolling the study. Subjects were divided into Group A for traditional sitting position (n=154) and Group B for pendant position (n=154). The outcome parameters recorded were the number of attempt for the successful spinal puncture, the number of spinal needle-bone contact and the duration to perform spinal puncture. Data were analyzed by using Statistical Package for Social Scientist (SPSS) version 21.0. Numerical data was served in median with minimal and maximal value. Numerical data was analyzed by using Mann-Whitney test. Categorical data was served by using relative risk (RR) with 95% confidence interval (95% CI) and was analyzed by using Chi-Square test.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

308

Conditions

Pregnancy, Caesarean Section

Interventions

Traditional sitting positionPROCEDURE

Subjects were set on traditional sitting position before spinal anesthesia begun.

Pendant positionPROCEDURE

Subjects were set on pendant position before spinal anesthesia begun.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * pregnant women aged 18-45 years old * Body Mass Index (BMI) 18-35 kg/m2 * physical status American Society of Anesthesiologists (ASA) I-III * planned to undergo cesarean section with spinal anesthesia and signed the informed consent form Exclusion Criteria: * Patients with any contraindication for spinal anesthesia (infection on injection site, coagulation disorder, severe hypovolemia, increased intracranial pressure, aortic and/or mitral stenosis) * pregnancy with head entrapment of the fetus, umbilical cord prolapse, feet presentation, * Patient with eclampsia * Patient with cardiovascular diseases * Patient with scoliosis * Patient with history of lumbar surgery * Patient with unpalpable intervertebral space due to thick fatty tissue or edema. Drop out criteria: \- spinal block was failed or only partial block

Outcomes

Primary Outcomes

Successful spinal puncture attempt number

The number of attempt for the successful spinal puncture for each positions

Time frame: 2 months

The number of spinal needle-bone contact

The number of spinal needle-bone contact for each positions

Time frame: 2 months

Spinal puncture duration

the duration to perform spinal puncture for each positions

Time frame: 2 months

Data from ClinicalTrials.gov

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