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IRCT20180518039700N2 IRCT 2020-08-06 Tabriz University of Medical Sciences Comparison of Modified Paramedicine Spinal Anesthesia with Classic Paramedin Spinal anesthesia with modified paramedian approach:copmarision with classic paramedian approach 2020-06-30 anticipated 200 Complete https://irct.ir/trial/49641 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Diagnostic, Randomization description: Patients wishing to participate in the study who meet the inclusion criteria will be selected through convenient sampling and then randomly assigned to two control and intervention groups using Randlist software and blocks of size two, Blinding description: In this study, an anesthesiologist who is fully aware of the study will perform paramedic or classical paramedic techniques, then leave the operating room and during the operation, another anesthesiologist and anesthesia resident who is the owner of the dissertation are not aware of the applied technique. And only collect the data, the patient himself does not know the technique applied. 3 Comparison of spinal anesthesia Paramedin modified paralysis and classical paramedin. Intervention 1: Intervention group:In this group,anesthesiologist in a sitting position from the L3-L4 or L4-L5 space with the spinal needle with the thumb, the outer margin of the multifidus muscle, which is approximately one and a half centimeters lateral to the intervertebral space, is determined,then Insert spinal needle No. 25 type Quincke at an angle of approximately 20-25 degrees to the medial until the tip of the needle reaches the subarachnoid space, depending on the duration of surgery 2-4 ml of bupivacaine 0.5% (manufactured by LES TOURS CEDEX-FRANCE) will be injected. Intervention 2: Control group:In the classical paramedic method, after finding the intervertebral space L3-L4 or L4-L5, go one centimeter to the lateral and then 1 cm downwards and then by giving an angle of 10-15 to the medial and also an angle of10_15 towards the cephalic so that the tip of the needle reaches the subarachnoid. Yes - There is a plan to make this available What will be shared: All potential data can be shared after making peoples unrecognizable When: Starting 6 months after publication . To whom: Documents will be available for people working in academic institutions and also people working in businesses. Conditions: There will be no specific limitations to the utilization of the data Where to obtain: Dr .Solmaz Fakhari , Department of Anesthesiology, Faculty of Medicine, Golgasht Street, Tabriz East Azarbaijan Islamic Republic of Iran ,Phone+98 413 3341994, Fax+98 41 33341994 , solmaz_fakhari@yahoo.com How to obtain: Applicants will access the data from the present study by sending an email to the responsible author for a maximum of one week. Comments:
public Solmaz Fakhari
Imam Reza Hospital, Golgasht St., Azadi Blvd.
Tabriz Iran (Islamic Republic of) 5138947979 +98 41 3334 1994 solmaz_fakhari@yahoo.com Tabriz University of Medical Sciences scientific solmaz Fakhari
Imam Reza Hospital, Golgasht St., Azadi Blvd.
Tabriz Iran (Islamic Republic of) 5138947979 +98 41 3334 1994 solmaz_fakhari@yahoo.com Tabriz University of Medical Sciences Iran (Islamic Republic of) All patients aged 20 to 60 years are candidates for spinal anesthesia with ASA rating,grade 1&2. Body mass index less than 30 20 years 60 years Both Visible spinal deformity History of chronic or acute headache Emergency surgery Weight over 100 kg and height less than 50 Surgery more than 3 hours T88.59 Other complications of anesthesia Treatment - Drugs Treatment - Drugs Intervention group:In this group,anesthesiologist in a sitting position from the L3-L4 or L4-L5 space with the spinal needle with the thumb, the outer margin of the multifidus muscle, which is approximately one and a half centimeters lateral to the intervertebral space, is determined,then Insert spinal needle No. 25 type Quincke at an angle of approximately 20-25 degrees to the medial until the tip of the needle reaches the subarachnoid space, depending on the duration of surgery 2-4 ml of bupivacaine 0.5% (manufactured by LES TOURS CEDEX-FRANCE) will be injected. Control group:In the classical paramedic method, after finding the intervertebral space L3-L4 or L4-L5, go one centimeter to the lateral and then 1 cm downwards and then by giving an angle of 10-15 to the medial and also an angle of10_15 towards the cephalic so that the tip of the needle reaches the subarachnoid. Time to reach the successful block. Timepoint: From the start of the block attempt to the result. Method of measurement: In minutes. Patient satisfaction with the procedure. Timepoint: After the operation. Method of measurement: Depending on the patient's questions (very low, low, high, very high). The comfort level of the anesthesiologist regarding the experience of the two techniques Paramedic Classic and Modified. Timepoint: After the operation. Method of measurement: Question from anesthesiologist (easier, more difficult, indifferent). Feeling of back pain while performing the procedure. Timepoint: From the beginning of the procedure to the end of the work. Method of measurement: Patient's own statements (no, mild, moderate, severe). Headache after the block. Timepoint: 6,12,24, 48 hours after the operation. Method of measurement: Patient's own statements (no, mild, moderate, severe). Tabriz University of Medical Sciences Approved 2020-06-29 Ethic Committee of Tabriz University of Medical Sciences Vice chancellor for research, Golgasht Street Tabriz East Azarbaijan Iran (Islamic Republic of)