Dural Puncture Epidural Technique Versus Conventional Epidural Technique During Vaginal Surgeries

National Research Centre, Egypt

Overview

The study aims to evaluate whether the dural puncture epidural technique (group B) improves sacral block anesthesia during vaginal surgeries compared with the conventional epidural technique (group A).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Conditions

Dural Puncture Epidural Technique

Interventions

Conventional epiduralPROCEDURE

In this group, a 20-gauge multi-orifice catheter was threaded through the cephalic-directed tip of the epidural needle 5 cm into the epidural space.

Dural puncture epiduralPROCEDURE

In this group, the dura was punctured by 25G Whitacre needle. After confirmation of CSF flow, the needle was removed and the epidural catheter was threaded.

Eligibility

Sex: FEMALEMin age: 25 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Age (25- 55) years. Height (150 -170) cm. Exclusion Criteria: Patient refusal. Hypersensitivity to local anesthetic drugs. Bleeding disorders and coagulopathy. Severe mitral or aortic stenosis. Local or systemic sepsis. Uncooperative patients. Sever spinal deformity. Blood or CSF in the epidural catheter during the procedure. Failure of the block and need for general anesthesia.

Outcomes

Primary Outcomes

Time of onset of anesthesia to T10

Time frame: During surgery

Time for complete motor block

Time frame: During surgery

Time for first rescue analgesia will be required during surgery

Time frame: During surgery

Data from ClinicalTrials.gov

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