Predictors of Unilateral Spinal Block Success
NCT07581561 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 318
Last updated 2026-05-12
Summary
This prospective observational study aims to determine the factors affecting the success of unilateral spinal anesthesia in patients undergoing orthopedic lower extremity surgery. Unilateral spinal anesthesia is preferred to minimize unwanted effects such as hypotension and to provide more stable hemodynamic conditions, especially in vulnerable patient populations.
Unilateral spinal anesthesia is defined as achieving sensory and motor block predominantly on the operated side without significant contralateral spread. However, the factors influencing the success of this technique have not been fully clarified.
This study will evaluate various patient-related and procedure-related factors, including age, sex, body mass index, patient positioning, needle type and orientation, injection technique and local anesthetic dose. The primary outcome is the success of unilateral spinal anesthesia, defined as the absence of contralateral block.
The results of this study are expected to contribute to improving clinical practice by identifying major and minor factors affecting block success and optimizing anesthesia techniques.
Conditions
- Spinal Aneshtesia
- Unilateral Spinal Anesthesia
- Regional Anaesthesia
Sponsors & Collaborators
-
Izmir City Hospital
lead OTHER_GOV
Principal Investigators
-
Derya Arslan Yurtlu, MD · Izmir City Hospital
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-10
- Primary Completion
- 2026-02-01
- Completion
- 2026-02-01
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Circumferential Spread of Anesthetic and Success in Sciatic Nerve Blockade
NCT00802581 ·Status: COMPLETED ·Phase: NA
-
Lumbar-Sacral Plexus Block vs Fascia Iliaca Block Plus Low-Dose Spinal Anesthesia for Femoral Neck Fracture Surgery
NCT07346885 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparative Efficacy of Sciatic and Femoral Blocks in Ankle Surgery
NCT06758245 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Peripheral Blocks Under Ultrasound Control With and Without Electrical Nerve Stimulation
NCT05054881 ·Status: COMPLETED ·Phase: NA
-
The Effects of Regional Anaesthesia Techniques on Hemidiaphragm Paralysis, Postoperative Recovery Quality, Opioid Consumption, and Pain Scores
NCT07553611 ·Status: RECRUITING
-
The Effect of Spinal Flexion in the Lateral Decubitus Position on the Unilaterality During Spinal Anesthesia
NCT01321684 ·Status: COMPLETED ·Phase: NA
-
Impact of Ultrasound Guidance on Central Neuraxial Block Success in Patients With Non-Palpable Vertebral Anatomy
NCT07269184 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of Pericapsular Nerve Group Block on Positioning Pain for Spinal Anesthesia in Hip Fracture Patients
NCT04871061 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy of Three Local Block Techniques for Diabetic Foot Surgery
NCT03155568 ·Status: UNKNOWN ·Phase: NA
-
Unilateral Epidural Block Versus Ultrasound Guided Combined Femoro-sciatic Nerves Block for Patients With Low Ejection Fraction
NCT05506501 ·Status: UNKNOWN ·Phase: NA
-
Peroperative Effect of Regional Anesthesia in Hip Surgery
NCT05960253 ·Status: RECRUITING ·Phase: NA
-
Diffusion of Local Anesthetic After Median Nerve Block
NCT00651170 ·Status: COMPLETED
-
Comparison of Two Regional Technics In Knee Artroplasty
NCT03021421 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Evaluation of Unilateral Ultrasound Guided Paravertebral Block as Perioperative Analgesia For Lower Limb-Sparing Surgery In Adult Cancer Patients
NCT04396561 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrasound Guidance in Nerve Block Anaesthesia
NCT00213954 ·Status: UNKNOWN ·Phase: NA
-
Optimal Positioning of Local Anaesthetic in Femoral Nerve Block Prior to Hip Surgery
NCT01527812 ·Status: COMPLETED ·Phase: NA
-
Para-sartorial Compartment Block in Knee Surgery
NCT05566561 ·Status: COMPLETED ·Phase: NA
-
Sciatic Nerve Block for Ankle/Foot Surgeries. A Comparison Between a Premixed Solution of Lidocaine Plus Bupivacaine and Consecutive Infiltration of Lidocaine and Bupivacaine
NCT01756443 ·Status: COMPLETED ·Phase: PHASE4
-
The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Anteroposterior Versus Oblique
NCT01926470 ·Status: COMPLETED ·Phase: NA
-
Dose Finding Study for Continuous Spinal Anaesthesia
NCT01680120 ·Status: UNKNOWN ·Phase: PHASE4
-
The Effect of Spinal Column Flexion on Unilaterality of Spinal Anesthesia
NCT06293404 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Costoclavicular and Paracoracoid Approaches to Infraclavicular Brachial Plexus Blocks
NCT05260736 ·Status: COMPLETED ·Phase: NA
-
Ankle Block Versus Popliteal Fossa Block as Primary Anesthesia for Forefoot Surgical Procedures
NCT01376960 ·Status: COMPLETED ·Phase: PHASE4
-
The Efficiency of Preoperative Pericapsular Nerve Group Block Applied With Ultrasound and Success of Spinal Anesthesia
NCT06209372 ·Status: COMPLETED
-
Comparison Between Ultrasound Guided Femoral 3 in 1 Block Versus Blind Fascia Iliaca Block Before Spinal Anaesthesia
NCT03139617 ·Status: COMPLETED ·Phase: NA