Comparison of Echo-assisted ALR Technique and Traditional ALR Technique for Epidural Catheter Placement in Pregnant Patients by Anesthesia Residents

What this Trial Is About

Researchers are evaluating whether using ultrasound guidance during epidural catheter placement can improve the skill and success rate of anesthesia residents working with pregnant patients. This trial aims to show if ultrasound assistance increases the chance of atraumatic puncture and reduces complications such as multiple attempts or accidental puncture of the dura. The study focuses on pregnant women needing peridural analgesia during childbirth and involves residents in anesthesiology training. Participants will be randomly assigned to one of two groups: one group will receive the echo-assisted technique, which combines ultrasound assessment with traditional palpation to find the best spot for epidural catheter insertion. The other group will undergo the traditional technique relying solely on anatomical landmarks felt by touch. The ultrasound-assisted method involves a pre-procedure to enhance accuracy. This open-label trial is conducted at a single center and aims to compare these two approaches. During the study, researchers will monitor the rate of successful atraumatic punctures and track any complications such as the number of attempts and dura puncture rates over about one year. Pregnant participants will provide informed consent and be assessed during epidural placement. The trial includes safety monitoring and outcome measurement focused on improving the training and performance of resident anesthesiologists.

Comparison of Echo-assisted ALR Technique and Traditional ALR Technique for the Placement of an Epidural Catheter in the Obstetric Patient