Neuraxial Anaesthesia: Does BMI Relate to Ease of Neuraxial Anaesthesia?
NCT03315845 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2017-10-24
Summary
Neuraxial anaesthesia can be more difficult and associated with more complications if the patient's bony landmarks are difficult to palpate. They are more likely to be difficult to palpate if a patient has a high Body Mass Index (BMI), (\>30kg/m2). The depth that the spinal or epidural needle must be inserted is usually longer in these patients with high BMIs. We wish to palpate the backs of at least 100 such patients to see how many of them have impalpable bony landmarks. We then wish to use ultrasound to measure the distance from skin to the posterior epidural complex to discover if this length is longer than the standard needle length. If it is longer in the majority of people we study, we will recommend changing standard practice to start using a longer needle for all first attempts at neuraxial anaesthesia in this patient population.
Conditions
- Obesity
- Neuraxial Ultrasound
- Obstetric Anaesthesia
Interventions
- OTHER
-
Palpation of bony landmarks for neuraxial anaesthesia.
Manual palpation of anterior and posterior iliac crests; lumbar spinous processes; scapulae; and sacral cornua. Ultrasound of neuraxial anatomy to assess depth to epidural space.
Sponsors & Collaborators
-
National Maternity Hospital, Ireland
lead OTHER
Principal Investigators
-
Kevin McKeating · National Maternity Hospital, Ireland
Eligibility
- Min Age
- 16 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-10-23
- Primary Completion
- 2018-01-09
- Completion
- 2018-01-09
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