Comparison of Successful Spinal Needle Insertion Between Obese and Non-obese Pregnant Women
1 other identifier
interventional
136
1 country
2
Brief Summary
The study aimed to compare successful spinal needle insertion between obese and non-obese pregnant women in crossed leg sitting position undergoing cesarean section
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2016
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedFirst Submitted
Initial submission to the registry
February 13, 2017
CompletedFirst Posted
Study publicly available on registry
February 15, 2017
CompletedFebruary 16, 2017
February 1, 2017
1 month
February 13, 2017
February 15, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of successful spinal needle placement in the first attempt
The number of successful spinal needle placement in the first attempt was recorded in yes/no method.
2 months
The number of needle-bone contact
The number of spinal needle-bone contact
2 months
Secondary Outcomes (1)
The number of blood vessel puncture incidence.
2 months
Study Arms (2)
Obese
EXPERIMENTALObese pregnant women received spinal anesthesia using Quincke Needle 25G/27G in crossed leg sitting position for caesarean section
Non-obese
EXPERIMENTALNon-obese pregnant women received spinal anesthesia using Quincke Needle 25G/27G in crossed leg sitting position for caesarean section
Interventions
Spinal anesthesia done in crossed leg sitting position
Eligibility Criteria
You may qualify if:
- Subjects aged 18-45 years old, with American Society of Anesthesiologists (ASA) physical status I-III who were planned to undergo caesarian section with spinal anesthesia in crossed leg sitting position.
- Subjects have been explained about the study, have agreed to enroll and have signed the informed consent form
You may not qualify if:
- Subjects with contraindications for spinal anesthesia
- Subjects with fetal's head trapped, umbilical prolapse, and foot presentation
- Subjects with pre-eclampsia
- Subjects with cardiovascular diseases
- Subjects with scoliosis
- Subjects with recent lumbal surgery history
- Subjects who cannot sit in crossed leg sitting position.
- Drop out criteria:
- Subjects with worsening conditions before spinal anesthesia
- Subjects with failed spinal needle insertion and thus received general anesthesia
- Subjects with twin pregnancy
- Subjects drop out the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Cipto Mangunkusumo Central National Hospital
Central Jakarta, DKI Jakarta, 10430, Indonesia
Cipto Mangunkusumo Cental National Hospital
Jakarta, DKI Jakarta, 10430, Indonesia
Related Publications (16)
Davies GA, Maxwell C, McLeod L, Gagnon R, Basso M, Bos H, Delisle MF, Farine D, Hudon L, Menticoglou S, Mundle W, Murphy-Kaulbeck L, Ouellet A, Pressey T, Roggensack A, Leduc D, Ballerman C, Biringer A, Duperron L, Jones D, Lee LS, Shepherd D, Wilson K; Society of Obstetricians and Gynaecologists of Canada. SOGC Clinical Practice Guidelines: Obesity in pregnancy. No. 239, February 2010. Int J Gynaecol Obstet. 2010 Aug;110(2):167-73. doi: 10.1016/j.ijgo.2010.03.008.
PMID: 20641146BACKGROUNDAmerican College of Obstetricians and Gynecologists. ACOG Committee opinion no. 549: obesity in pregnancy. Obstet Gynecol. 2013 Jan;121(1):213-7. doi: 10.1097/01.aog.0000425667.10377.60.
PMID: 23262963BACKGROUNDRodrigues FR, Brandao MJ. Regional anesthesia for cesarean section in obese pregnant women: a retrospective study. Rev Bras Anestesiol. 2011 Jan-Feb;61(1):13-20. doi: 10.1016/S0034-7094(11)70002-2.
PMID: 21334503BACKGROUNDSoltani Mohammadi S, Hassani M, Marashi SM. Comparing the squatting position and traditional sitting position for ease of spinal needle placement: a randomized clinical trial. Anesth Pain Med. 2014 Apr 5;4(2):e13969. doi: 10.5812/aapm.13969. eCollection 2014 May.
PMID: 24790901BACKGROUNDWatanabe S, Kobara K, Ishida H, Eguchi A. Influence of trunk muscle co-contraction on spinal curvature during sitting cross-legged. Electromyogr Clin Neurophysiol. 2010 Apr-Jun;50(3-4):187-92.
PMID: 20552952BACKGROUNDSebire NJ, Jolly M, Harris JP, Wadsworth J, Joffe M, Beard RW, Regan L, Robinson S. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001 Aug;25(8):1175-82. doi: 10.1038/sj.ijo.0801670.
PMID: 11477502BACKGROUNDMhyre JM. Anesthetic management for the morbidly obese pregnant woman. Int Anesthesiol Clin. 2007 Winter;45(1):51-70. doi: 10.1097/AIA.0b013e31802b8a90. No abstract available.
PMID: 17215699BACKGROUNDVricella LK, Louis JM, Mercer BM, Bolden N. Anesthesia complications during scheduled cesarean delivery for morbidly obese women. Am J Obstet Gynecol. 2010 Sep;203(3):276.e1-5. doi: 10.1016/j.ajog.2010.06.022. Epub 2010 Jul 31.
PMID: 20673866BACKGROUNDBroadbent CR, Maxwell WB, Ferrie R, Wilson DJ, Gawne-Cain M, Russell R. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia. 2000 Nov;55(11):1122-6. doi: 10.1046/j.1365-2044.2000.01547-4.x.
PMID: 11069342BACKGROUNDGulay U, Meltem T, Nadir SS, Aysin A. Ultrasound-guided evaluation of the lumbar subarachnoid space in lateral and sitting positions in pregnant patients to receive elective cesarean operation. Pak J Med Sci. 2015 Jan-Feb;31(1):76-81. doi: 10.12669/pjms.311.5647.
PMID: 25878618BACKGROUNDKim SH, Kim DY, Han JI, Baik HJ, Park HS, Lee GY, Kim JH. Vertebral level of Tuffier's line measured by ultrasonography in parturients in the lateral decubitus position. Korean J Anesthesiol. 2014 Sep;67(3):181-5. doi: 10.4097/kjae.2014.67.3.181. Epub 2014 Sep 24.
PMID: 25302094BACKGROUNDReinius H, Jonsson L, Gustafsson S, Sundbom M, Duvernoy O, Pelosi P, Hedenstierna G, Freden F. Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anesthesiology. 2009 Nov;111(5):979-87. doi: 10.1097/ALN.0b013e3181b87edb.
PMID: 19809292BACKGROUNDCollins JS, Lemmens HJ, Brodsky JB, Brock-Utne JG, Levitan RM. Laryngoscopy and morbid obesity: a comparison of the "sniff" and "ramped" positions. Obes Surg. 2004 Oct;14(9):1171-5. doi: 10.1381/0960892042386869.
PMID: 15527629BACKGROUNDCadi P, Guenoun T, Journois D, Chevallier JM, Diehl JL, Safran D. Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation. Br J Anaesth. 2008 May;100(5):709-16. doi: 10.1093/bja/aen067.
PMID: 18407943BACKGROUNDMcKay RE, Malhotra A, Cakmakkaya OS, Hall KT, McKay WR, Apfel CC. Effect of increased body mass index and anaesthetic duration on recovery of protective airway reflexes after sevoflurane vs desflurane. Br J Anaesth. 2010 Feb;104(2):175-82. doi: 10.1093/bja/aep374. Epub 2009 Dec 26.
PMID: 20037150BACKGROUNDAnuurad E, Shiwaku K, Nogi A, Kitajima K, Enkhmaa B, Shimono K, Yamane Y. The new BMI criteria for asians by the regional office for the western pacific region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers. J Occup Health. 2003 Nov;45(6):335-43. doi: 10.1539/joh.45.335.
PMID: 14676412BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Susilo Chandra
Indonesia University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Anesthesiologist Consultant
Study Record Dates
First Submitted
February 13, 2017
First Posted
February 15, 2017
Study Start
July 1, 2016
Primary Completion
August 1, 2016
Study Completion
December 1, 2016
Last Updated
February 16, 2017
Record last verified: 2017-02