The nerve blocks applied with ultrasonography are used for pain and operation after many operations today. Applications with ultrasonography shorten the processing time, reduce the amount of local anesthetic used and lead to fewer complications. However, the use of ultrasonography is not so common in neuraxial regional anesthesia applications. In the literature, epidural applications accompanied by ultrasonography were applied with different approaches.
In this study the investigators will used the two different ultrasound -guided epidural block approach . Paramedian sagittal oblique and Transverse interlaminar. The investigators will used this two technique in epidural catheter placement using the real-time ultrasound.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
90
Epidural catheter insertions
Bursa Yuksek Ihtisas Training and Research Hospital
Bursa, Turkey (Türkiye)
Number of needle routing
number of needle redirects forming successful block
Time frame: 20 minutes
Epidural catheter placement time
time (minutes) until the epidural catheter is inserted
Time frame: 20 minutes
Epidural igne visibility degree
4 = Excellent visibility, 3 = Medium visibility, 2 = Weak visibility 1 = No visibility using a 4-point Likert scale by the practitioner
Time frame: 20 minutes
Difficulty of catheter placement
Assessed by the Practitioner using a 10-point scale, 0: easiest, 10: hardest)
Time frame: 30 minutes
distance measurement of neuraxial structures
Anterior and posterior complex distance measured during epidural administration. Distance from skin to anterior aspect of ligament flavum (cm) Distance from skin to posterior dura (cm)
Time frame: 30 minutes
Patient position
Patient position during epidural placement Sitting Lateral
Time frame: 20 minutes
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