A Factorial Trial of Ultrasound and Manometry to Improve the Success of Thoracic Epidural Placement

Status unconfirmed · Not applicable · Has a placebo group

Conditions studied: Surgery

In brief

To investigate the use of ultrasound and manometry to increase the success rate of thoracic epidural placement. The use of ultrasound for lumbar epidural catheter placement is well established and is thought to assist in identifying an optimal skin entry point, depth to lamina and ligamentum flavum, and needle trajectory. The use of sterile manometry tubing to demonstrate a falling and oscillating fluid column has been described as a confirmatory test in the placement of lumbar epidurals. This study will determine if the efficacy of thoracic epidural placement is improved if placement is performed with the use of either US, or manometry, or both techniques combined, compared with a standard landmark-based placement technique alone.

Key facts

Study ID

NCT03559023

Run by

Oregon Health and Science University

People needed

480

Starts

2018-06-12

Expected to finish

2020-09-30

Last updated by the study team

2020-03-03

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Epidural indicated for a T4-T10 placement site
• American Society of Anesthesiologists (ASA) physical status I to IV

You may not qualify if…

• Non-English speaking subjects in situations when an interpreter or consent in their native language is not available.
• Pregnant women
• Decsionally impaired
• Prisoners
• Children

Where it is running

• OHSU — Portland, Oregon, United States (enrolling)

Full record on ClinicalTrials.gov

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