Cervical Epidural Pressure Measurement
NCT01009385 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2009-11-06
Summary
Cervical epidural steroid injections
* The hanging drop (HD) technique is commonly used for identifying the cervical epidural space.
* The hanging drop (HD) technique is using the negative pressure in the epidural space.
* The subject of debate whether the epidural space exhibits negative pressure.
* In a previous study, EP might be influenced by body position
* No report or peer-reviewed literature to demonstrate the cervical epidural pressure (CEP) now.
The hypothesis of this study
* There is a difference in the cervical epidural pressure between in the prone and sitting positions
* To evaluate this hypothesis, CEPs in the prone and sitting groups were measured and compared in the two groups.
* Using a closed pressure measurement system
* Under fluoroscopic guidance.
Conditions
- Head Pain
- Neck Pain
- Upper Extremity Pain
Interventions
- PROCEDURE
-
cervical epidural steroid injection
* After aseptic preparation and skin infiltration with 1% lidocaine * 20-gauge Tuohy needle (Tae-Chang Industrial Co., Kongju, Korea) was inserted in the midline at the C6 - C7 level * identification of the epidural space confirmed by injection of contrast medium under fluoroscope * injection of 5 mL of solution containing 10 mg of triamcinolone acetonide suspension and 1.5 mL of 0.75% levobupivacaine hydrochloride, and 3.5 mL of physiologic saline (0.9% NaCl). * Post-procedure, patients were observed for any adverse effects and followed with a neurological examination
- PROCEDURE
-
epidural pressure measurement
* The stylet within the Tuohy needle is removed when the needle was placed in C6-7 ligamentum flavum under fluoroscopic true lateral view. * Identification of the epidural space and measurement of EP was performed with a closed measurement system.
Sponsors & Collaborators
-
Seoul National University Bundang Hospital
lead OTHER
Principal Investigators
-
Jeeyoun Moon · Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital
Study Design
- Allocation
- RANDOMIZED
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-10-31
- Primary Completion
- 2009-11-30
- Completion
- 2009-11-30
Countries
- South Korea
Study Locations
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