Imran Technique for Spinal Anesthesia and Lumbar Puncture

NCT07625397 | Completed

• 2 other identifiers: WMC-IRB-157-2026IRB Approval Number
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This quasi-experimental prospective clinical trial was conducted to compare the conventional sitting position with the Imran Technique, a novel ergonomic patient-positioning method, for spinal anesthesia and lumbar puncture. A total of 200 adult participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture were allocated into two groups. The study aimed to evaluate procedural success, procedural efficiency, patient comfort, operator ergonomics, and procedure-related complications associated with the two positioning techniques.

Conditions

Spinal Anesthesia; Lumbar Puncture; Patient Positioning

Keywords

Imran Technique; Spinal Anesthesia; Lumbar Puncture; Patient Positioning; Ergonomics; Procedural Success; Anesthesia Technique

Outcome Measures

Primary Outcomes (1)

• First Attempt Procedural Success

  Successful spinal anesthesia or lumbar puncture achieved with a single skin puncture on the first attempt.

  During the procedure (up to 30 minutes)

Secondary Outcomes (10)

• Total Procedural Time

  During the procedure (up to 30 minutes)

• Number of Needle Attempts

  During the procedure

• Needle Redirections

  During the procedure

• Intervertebral Space Changes

  During the procedure

• Overall Procedural Success

  During the procedure (up to 30 minutes)

Study Arms (2)

Conventional Sitting Position

ACTIVE COMPARATOR

Participants underwent spinal anesthesia or lumbar puncture using the conventional sitting position according to standard institutional practice.

Procedure: Conventional Sitting Position

Imran Technique

EXPERIMENTAL

Participants underwent spinal anesthesia or lumbar puncture using the Imran Technique, a novel ergonomic positioning method designed to improve lumbar flexion, operator ergonomics, and procedural access.

Procedure: Imran Technique

Interventions

Conventional Sitting Position PROCEDURE

Standard sitting patient positioning used for spinal anesthesia and lumbar puncture procedures.

Conventional Sitting Position

Imran Technique PROCEDURE

A novel ergonomic patient positioning technique for spinal anesthesia and lumbar puncture involving lateral operator positioning and assisted lumbar flexion to improve procedural access and success.

Imran Technique

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult participants aged 18 to 65 years
• Participants requiring spinal anesthesia for surgical procedures or diagnostic lumbar puncture
• Participants medically suitable for spinal anesthesia or lumbar puncture
• Participants able to assume and maintain the assigned procedural position
• Participants who provided written informed consent

You may not qualify if:

• Age below 18 years or above 65 years
• Previous spinal surgery
• Significant spinal deformity
• Local infection at the puncture site
• Coagulopathy or bleeding disorders
• Raised intracranial pressure
• Severe hemodynamic instability
• Inability to maintain the assigned procedural position
• Refusal to participate or inability to provide informed consent

Sponsors & Collaborators

• Wah Medical college , POF hospital: lead

Study Sites (1)

Wah Medical College, POF Hospital Wah cantt

Wah, Punjab Province, 4070, Pakistan

Location

Study Officials

• Imran Ul Haq, MBBS, FCPS

  Wah Medical College (NUMS) / POF Hospital Wah Cantt, Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants were allocated into two parallel groups to compare the conventional sitting position with the Imran Technique for spinal anesthesia and lumbar puncture.

Study Record Dates

• First Submitted: May 27, 2026
• First Posted: June 4, 2026
• Study Start: March 2, 2026
• Primary Completion: March 31, 2026
• Study Completion: March 31, 2026
• Last Updated: June 4, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Beginning 1 year after publication

Locations

PA (1)