[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100573032":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":34,"centralContacts":39,"locations":49,"responsibleParty":67,"collaborators":70,"id":71,"slug":72,"hasResults":73,"nctId":74,"briefTitle":75,"officialTitle":76,"acronym":70,"eligibilityCriteria":77,"healthyVolunteers":73,"sex":78,"minAge":79,"maxAge":70,"enrollmentInfo":80,"targetDuration":70,"studyType":83,"phases":84,"briefSummary":86,"conditions":87,"keywords":70,"overallStatus":52,"whyStopped":70,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":93,"completionDateStruct":95,"leadSponsor":97,"locationsCount":98},{"fullName":5,"class":6},"University Tunis El Manar","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"paramedian landmark group","EXPERIMENTAL","conventional landmark paramedian approach will be performed. isobar bupivacaine will be injected for continuous spinal anesthesia.",[13],"Procedure: conventional landmark paramedian technique",{"label":15,"type":16,"description":17,"interventionNames":18},"Midline ultrasound group","ACTIVE_COMPARATOR","preprocedural ultrasound guided midline approach will be performed. isobar bupivacaine will be injected for continuous spinal anesthesia.",[19],"Procedure: preprocedural ultrasound guided midline technique",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","conventional landmark paramedian technique","a blind landmark scanning will be done and skin marking of the best palpable spinous process will be made.\n\nthe site of injection will be determined by palpation. continuous spinal anesthesia will be performed via paramedian approach.",[9],[27],"PML",{"type":22,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"preprocedural ultrasound guided midline technique","a preprocedural ultrasound scanning will be done, and skin marking of the best quality space will be made.\n\nthe site of injection and the insertion angle of the needle will be determined by ultrasound.\n\ncontinuous spinal anesthesia will be performed via midline approach.",[15],[33],"MUS",[35],{"name":36,"affiliation":37,"role":38},"MECHAAL BEN ALI, Professor","university manar Tunis, Tunisia","PRINCIPAL_INVESTIGATOR",[40,45],{"name":36,"role":41,"phone":42,"phoneExt":43,"email":44},"CONTACT","72100533","+216","mechaal_benali@yahoo.fr",{"name":46,"role":41,"phone":47,"phoneExt":43,"email":48},"SAMEH BEN AHMED, Doctor","72100500","sameh.benahmed@fmt.utm.tn",[50],{"facility":51,"status":52,"city":53,"state":54,"zip":55,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":64},"BEN ALI MECHAAL, Professor","RECRUITING","Nabeul","Mrazga","8000","Tunisia","TN",{"type":59,"coordinates":60},"Point",[61,62],10.73763,36.45606,{"lat":62,"lon":61},[65,66],{"name":36,"role":41,"phone":42,"phoneExt":43,"email":44},{"name":46,"role":41,"phone":47,"phoneExt":43,"email":48},{"type":38,"investigatorFullName":68,"investigatorTitle":69,"investigatorAffiliation":5,"oldNameTitle":70,"oldOrganization":70},"Sameh Ben Ahmed","Associate professor",null,"100573032","ultrasound-guided-midline-vs-landmark-paramedian-continous-spinal-anesthesia-in-the-elderly-100573032",false,"NCT06740994","Ultrasound Guided Midline vs Landmark Paramedian Continous Spinal Anesthesia in the Elderly","Ultrasound Guided Midline Continuous Spinal Anesthesia in the Elderly : is There an Advantage Over Conventional Landmark Paramedian Technique: a Randomized Controlled Trial","Inclusion Criteria:\n\n* all consented patients aged over 65 years old scheduled to undergo surgery for hip fracture under continuous spinal anesthesia with American Society of Anesthesiologists ASA physical status classification from I to III\n\nExclusion Criteria:\n\n* contraindications to spinal anesthesia ( allergy to local anesthetic, coagulopathy, infection at the site of injection)\n* previous history of lumbar spine surgery\n* per operative severe complication with conversion to general anesthesia","ALL","65 Years",{"count":81,"type":82},110,"ESTIMATED","INTERVENTIONAL",[85],"NA","Former clinical studies have reported the superiority of the landmark guided paramedian approach above the classical landmark guided midline approach for the continuous spinal anesthesia especially in the elderly. On the other hand, more recent clinical trials have suggested that the use of ultrasound to guide spinal anesthesia will be safer and more effective than the conventional palpation-guided technique.\n\nThe aim of this study will be to compare the conventional \"blind\" landmark paramedian approach to the ultrasound \"modern\" guided midline approach for the continuous spinal anesthesia in the elderly with hip fractures.\n\nPatients will randomly divided into two groups:\n\nGroup(PML): will undergo conventional landmark guided paramedian continuous spinal anesthesia Group (MUS): will undergo ultrasound guided midline continuous spinal anesthesia",[88],"Spinal Anesthesia","2024-12-17",{"date":91,"type":92},"2024-12-18","ACTUAL",{"date":94,"type":92},"2024-04-29",{"date":96,"type":82},"2025-08-31",{"name":5,"class":6},1]