Aim of the work: To compare the use of the Accuro ultrasound and a real time ultrasound guided epidural combined with the acoustic puncture assisted device to perform the epidural anesthesia Secondary aim is to compare the incidence of complications associated with each technique. Patient's selection: This study will be performed on 100 pregnant patients scheduled for normal vaginal delivery under epidural analgesia. The sample size was calculated by taking success rate of conventional LOR to be 98% in the patients; assuming 80% power, with 95% confidence interval (CI) of two techniques and 30% margin of error. The study protocol will be reviewed and approved by the Ethics Committee of the Alexandria Main University Hospitals. A written consent will be obtained from all the patients participating in this study. Complete history will be taken from all the patients and will be subjected to thorough examination and routine laboratory investigations. Patients will be randomly divided into two equal groups using a computer-generated program. Group I consists of 50 patients scheduled for epidural catheter insertion using the Accuro ultrasound imaging assisted technique. Group II consists of 50 patients scheduled for epidural catheter insertion using the real time ultrasound guided technique combined with the use of the acoustic puncture assist device (APAD) technique.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
the depth of the EDS from skin,
Timeframe: the procedure time
the number of attempts to perform the epidural anesthesia, the repositioning of the epidural needle either in the same space or in different space
Timeframe: the procedure time
, the time taken for space localisation .
Timeframe: the procedure time
the total time of the procedure
Timeframe: the procedure time