Needle angle planning for paramedian spinal anesthesia
Official title: Paramedian Incidence Angles in Spinal Anaesthesia
Run by Consorci Sanitari de Terrassa · NCT07210892 · Data updated 2026-11-12
This project tests whether using ultrasound (and X‑ray when available) to estimate the best needle insertion angle can reduce the number of punctures and redirections for patients receiving spinal anesthesia.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Consorci Sanitari de Terrassa Academic / other |
| Locations | 1 site (Barcelona, Barcelona) |
| Status | Recruiting |
| Started | September 30, 2025 |
| Main results expected | September 30, 2026 |
| Study ends | September 4, 2028 |
| Registry record updated | July 30, 2026 |
| Trial ID | NCT07210892 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Patients who are scheduled to receive spinal anesthesia at the participating center are the intended candidates for this project.
✕Probably not a fit
People not receiving spinal anesthesia, those in whom ultrasound or X‑ray cannot be obtained, or patients whose anatomy precludes angle-guided paramedian approach may not receive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational project will record the number of needle punctures and redirections during routine spinal anesthesia and measure the actual angle of needle insertion. Ultrasound will be used to measure skin-to-dural sac distance and plain X‑ray distances will be correlated when available, while protractors or visual guides document insertion angles including paramedian approaches. Investigators will determine the optimal, maximum, and minimum angles that correspond with successful punctures and compare ultrasound versus X‑ray distance measurements. The team will also infer angles in advance for subsequent patients to see if prior estimation reduces the number of punctures and redirections.
Why it matters
Potential benefit: If successful, this approach could reduce needle punctures and redirections, lowering pain and complication risk and shortening procedure time.
How similar studies have gone: Previous studies show ultrasound guidance can reduce needle attempts for spinal anesthesia, but detailed mapping of paramedian insertion angles and routine preprocedure angle estimation is less well studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: patients submitted to spinal anaesthesia - Exclusion Criteria: none \-
Where it's running
-
APuigdellivolSanchez
Barcelona, Barcelona, Spain Recruiting
Study contacts
- Study coordinator: Anna Puigdellívol-Sánchez, M.D., Ph.D.
- Email: apuigdellivol@ub.edu
- Phone: +34-93-5884555
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Immersive nature-based wellbeing program for older adults with cognitive impairment
A nature-inspired immersive virtual reality program is being tested to see if it can improve well-being and daily function for older adults with mild to moderate cognitive impairment.
-
Immersive virtual reality training to improve thinking and memory in adults with metabolic syndrome
This project will try immersive virtual reality sessions that combine cognitive exercises and physical activity to see if they improve thinking and memory in middle-aged adults with metabolic syndrome who report cognitive complaints.
-
NewAnescat 2024: anesthesia activity registry
This project records all anesthesia work at participating hospitals over a 14-day period to see how workload and resources have changed since 2003.
-
High-voltage pulsed radiofrequency treatment for chronic lower back pain
This study is testing if a new high-voltage pulsed radiofrequency treatment can help people with chronic lower back pain feel better compared to the standard treatment.
-
Using virtual reality to improve cognition in cancer patients
This study is testing whether using virtual reality exercises can help cancer patients improve their thinking skills and feel better during chemotherapy.
-
Evaluating the effects of antihistamines and amantadine on COVID-19 outcomes
This study is testing whether taking antihistamines or amantadine helps older patients in nursing homes have better outcomes with COVID-19 compared to those who don't take these medications.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.