Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
NCT06740994

Ultrasound Guided Midline vs Landmark Paramedian Continous Spinal Anesthesia in the Elderly

Led by University Tunis El Manar · Updated on 2024-12-18

110

Participants Needed

1

Research Sites

69 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Former clinical studies have reported the superiority of the landmark guided paramedian approach above the classical landmark guided midline approach for the continuous spinal anesthesia especially in the elderly. On the other hand, more recent clinical trials have suggested that the use of ultrasound to guide spinal anesthesia will be safer and more effective than the conventional palpation-guided technique. The aim of this study will be to compare the conventional "blind" landmark paramedian approach to the ultrasound "modern" guided midline approach for the continuous spinal anesthesia in the elderly with hip fractures. Patients will randomly divided into two groups: Group(PML): will undergo conventional landmark guided paramedian continuous spinal anesthesia Group (MUS): will undergo ultrasound guided midline continuous spinal anesthesia

CONDITIONS

Official Title

Ultrasound Guided Midline vs Landmark Paramedian Continous Spinal Anesthesia in the Elderly

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged over 65 years
  • Scheduled for hip fracture surgery under continuous spinal anesthesia
  • American Society of Anesthesiologists (ASA) physical status I to III
  • Provided written informed consent to participate
Not Eligible

You will not qualify if you...

  • Allergy to local anesthetic
  • Blood clotting disorders (coagulopathy)
  • Infection at the injection site
  • Previous lumbar spine surgery
  • Severe complications during surgery requiring switch to general anesthesia

AI-Screening

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Trial Site Locations

Total: 1 location

1

BEN ALI MECHAAL, Professor

Nabeul, Mrazga, Tunisia, 8000

Actively Recruiting

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Research Team

M

MECHAAL BEN ALI, Professor

CONTACT

S

SAMEH BEN AHMED, Doctor

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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