Epidural Catheter Placement Techniques by Anesthesia Residents: Success and Complications
Starting soon
Conditions studied: Epidural Anesthesia, Catheterisation, Education, Postoperative Pain, Medical, Graduate Medical Education
In brief
This prospective observational study aims to evaluate the impact of epidural catheter placement techniques - loss of resistance (LOR) and hanging drop (HD) - on first-attempt success rates and procedural complications among anesthesia residents. Residents with at least two years of training will perform epidural catheterization under supervision for patients scheduled for elective surgery requiring perioperative epidural analgesia. An independent observer will record procedural details, complications, and postoperative pain scores. The study will enroll 440 patients aged 18-80 with ASA I-III classification.
Key facts
- Study ID
- NCT07573007
- Run by
- Marmara University Pendik Training and Research Hospital
- People needed
- 440
- Starts
- 2026-05-01
- Expected to finish
- 2027-06-01
- Last updated by the study team
- 2026-05-07
Who can join
Age: 18 and older, up to 80. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 18-80 years
- ASA physical status I, II, or III
- Scheduled for elective surgery requiring perioperative epidural analgesia or anesthesia (lumbar or thoracic approach)
- Epidural catheter to be placed by a resident with ≥ 2 years of anesthesia training
You may not qualify if…
- Spinal deformity (scoliosis, kyphosis, or prior spinal surgery at the target level)
- Coagulopathy or anticoagulant therapy precluding neuraxial blockade
- Active infection at the insertion site or systemic infection
- Pre-existing neurological disease affecting the spinal cord or nerve roots
- Emergency surgery
- History of prior failed epidural catheterization
- Patient refusal or inability to provide written informed consent
- Local anatomical pathology precluding safe epidural access
Where it is running
- Marmara University Pendik Training and Research Hospital — Istanbul, Maltepe, Turkey (Türkiye)
Full record on ClinicalTrials.gov
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