27G-Quincke® vs 27G-Pencil-Point® spinal needles for spinal saddle block

ISRCTN ISRCTN12262174
DOI https://doi.org/10.1186/ISRCTN12262174
Secondary identifying numbers N/A
Submission date
22/02/2009
Registration date
26/05/2009
Last edited
26/05/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Marc D Schmittner
Scientific

Universitätsmedizin Mannheim
Klinik für Anästhesiologie und Operative Intensivmedizin
Theodor-Kutzer-Ufer 1-3
Mannheim
69167
Germany

Study information

Study designRandomised controlled single-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleComparison of 27G-Quincke® vs 27G-Pencil-Point® spinal needles and 10 vs 30 minutes fixation time for spinal saddle block regarding the incidence of post-dural puncture headache
Study objectivesThe incidence of post-dural puncture headache in spinal saddle block seems to be associated with the time given for fixation of the local anaesthetic. Under the assumption of an elevated cerebro-spinal-fluid pressure in the lumbar spine in the sitting position we hypothesised that (a) using a 27G-Pencil-Point® spinal needle instead of a 27G-Quincke-type® spinal needle AND (b) leaving the patient in the upright position for fixation of the local anaesthetic for 10 instead of 30 minutes would reduce the incidence of post-dural-puncture headache.
Ethics approval(s)Medical Ethics Committee II, Faculty of Medicine, Ruprecht Karl University of Heidelberg (Medizinische Ethikkommission II: Medizinische Fakultät Mannheim der Ruprecht-Karls-Universität Heidelberg), approved on 27/09/2008.
Health condition(s) or problem(s) studiedPost-dural puncture headache
InterventionPatients are randomised 1:1:1:1 to:

A: 27-gauge Quincke® needle, being left in the upright postion for 10 minutes
B: 27-gauge Quincke® needle, being left in the upright postion for 30 minutes
C: 27-gauge Pencil-Point® needle, being left in the upright postion for 10 minutes
D: 27-gauge Pencil-Point® needle, being left in the upright postion for 30 minutes

Patients receive a questionnaire and phone call one week later to obtain information about satisfaction and occurring complications. The time for the performance of the spinal anaesthesia and problems with the handling of the spinal needle are recorded by the anaesthesiologist.
Intervention typeOther
Primary outcome measureIncidence of post-dural puncture headache and other complications, measured one week after anaesthesia.
Secondary outcome measuresNo secondary outcome measures
Overall study start date01/09/2008
Completion date01/08/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants400
Key inclusion criteria1. Patients (male/female) with minor perianal surgery
2. Age 18-80 years
3. American Society of Anesthesiologists (ASA) physical status I-III
4. No contraindications for spinal anaesthesia
Key exclusion criteria1. Contraindications for spinal anaesthesia
2. Allergy to local anaesthetics
Date of first enrolment01/09/2008
Date of final enrolment01/08/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

Universitätsmedizin Mannheim
Mannheim
69167
Germany

Sponsor information

B. Braun Melsungen AG (Germany)
Industry

Carl-Braun-Strasse 1
Melsungen
34212
Germany

Website http://www.bbraun.com
ROR logo "ROR" https://ror.org/04nxj7050

Funders

Funder type

University/education

University of Heidelberg (Germany) - main funder

No information available

B. Braun Melsungen AG (Germany) - provided the spinal needles

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan