Improving Accuracy of Landmarks for Neuraxial Blocks in Pregnancy: The Sacral Anatomical Interspace Landmark (SAIL) Technique
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/3/2018 |
| Start Date: | February 15, 2018 |
| End Date: | October 30, 2018 |
A Novel Method of Improving Accuracy of Anatomical Landmarks for Neuraxial Blocks in Pregnancy: The Sacral Anatomical Interspace Landmark (SAIL) Technique
This study is a randomized clinical trial to evaluate the accuracy of the novel SAIL
technique compared to the classic intercristal line technique in estimating the L4-L5
interspace for labor epidural or spinal anesthesia placement. The investigators hypothesize
that the SAIL technique will be more accurate in successfully locating the L4-L5 interspace
in pregnant women than the classic intercristal line technique.
technique compared to the classic intercristal line technique in estimating the L4-L5
interspace for labor epidural or spinal anesthesia placement. The investigators hypothesize
that the SAIL technique will be more accurate in successfully locating the L4-L5 interspace
in pregnant women than the classic intercristal line technique.
The current standard technique aiming at identifying the L4-L5 intervertebral space as a
reference point before performing a neuraxial block relies on the correct clinical estimation
of the intercristal line. The classic intercristal line technique uses an imaginary line that
intersects the iliac crests to determine a safe puncture level to access. In pregnant women,
the classic technique fails to identify the safe puncture level 40 % of the time.
The newly proposed Sacral Anatomical Interspace Landmark (SAIL) technique consists of using
the sacral bone to determine a safe puncture level to access.
Lumbar ultrasound will determine the accuracy of each clinical technique in identifying the
L4-L5 interspace (target).
reference point before performing a neuraxial block relies on the correct clinical estimation
of the intercristal line. The classic intercristal line technique uses an imaginary line that
intersects the iliac crests to determine a safe puncture level to access. In pregnant women,
the classic technique fails to identify the safe puncture level 40 % of the time.
The newly proposed Sacral Anatomical Interspace Landmark (SAIL) technique consists of using
the sacral bone to determine a safe puncture level to access.
Lumbar ultrasound will determine the accuracy of each clinical technique in identifying the
L4-L5 interspace (target).
Inclusion Criteria:
- Ultrasound-determined gestation age greater than or equal to 37 weeks
- Expressed interest or indication for epidural anesthesia
- Patients in the first stage of labor
Exclusion Criteria:
- Patients perceived or indicating that she is unable to cooperate with positioning
- BMI greater than 45 kg/m2
- Previous spine surgery or known spinal deformities
- Impaired decision making abilities
- non-English speaking
We found this trial at
1
site
University of Michigan The University of Michigan was founded in 1817 as one of the...
Click here to add this to my saved trials
