UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026223
Receipt number R000030094
Scientific Title A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images
Date of disclosure of the study information 2017/03/01
Last modified on 2017/02/20 15:49:37

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Basic information

Public title

A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images

Acronym

Differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images

Scientific Title

A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images

Scientific Title:Acronym

Differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images

Region

Japan


Condition

Condition

40 adult patients examined using thoracic CT scanning at surgery

Classification by specialty

Chest surgery Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We measured the distance from the skin to the epidural space and the thoracic cavity on the route for thoracic epidural catheterization in computed tomography (CT) images and assessed how structurally different the distance was.

Basic objectives2

Others

Basic objectives -Others

pneumothorax and catheter insertion into the thoracic cavity are avoided at puncture.

Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

There was no significant difference between the distance from the skin to the epidural space and from the skin to the ipsilateral thoracic cavity in patients of either sex. On the other hand, the distance to the contralateral thoracic cavity was significantly longer than to the epidural space.Data from November 2014 and June 2015.

Key secondary outcomes

The distance from the skin to the epidural space and to the ipsilateral thoracic cavity was significantly shorter in the females than in the males.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients meeting the inclusion criteria of age: 20 years and over, height: standard height, and weight: standard weight were selected as the subjects for the present study to investigate distance differences in patients with a standard Japanese physique.

Key exclusion criteria

none

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Isao Tsuneyoshi

Organization

University of Miyazaki

Division name

Department of Anesthesiology and Critical Care, Faculty of Medicine

Zip code


Address

5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan

TEL

0985-85-9357

Email

isao45@med.miyazaki-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Isao Tsuneyoshi

Organization

University of Miyazaki

Division name

Anesthesiology and Critical Care, Faculty of Medicine

Zip code


Address

5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan

TEL

0985-85-9357

Homepage URL


Email

isao45@med.miyazaki-u.ac.jp


Sponsor or person

Institute

Anesthesiology and Critical Care, Faculty of Medicine, University of Miyazaki

Institute

Department

Personal name



Funding Source

Organization

University of Miyazaki

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Because the distance from the skin to the thoracic cavity on the puncture side was nearly the same as the distance from the skin to the epidural space in the paramedian approach, it has become clear that even when puncture for thoracic epidural anesthesia is performed at an angle for the paramedian approach, the needle might actually be inserted by accident at an angle similar to that for the median approach due to inadequate body positioning and spinal deformation, resulting in an increased risk of accidental perforation of the ipsilateral thoracic cavity.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 11 Month 01 Day

Date of IRB


Anticipated trial start date

2014 Year 11 Month 01 Day

Last follow-up date

2015 Year 07 Month 31 Day

Date of closure to data entry

2015 Year 07 Month 31 Day

Date trial data considered complete

2015 Year 07 Month 31 Day

Date analysis concluded

2017 Year 02 Month 25 Day


Other

Other related information

It is also suggested that the risk of perforation of the thoracic cavity is higher in females.


Management information

Registered date

2017 Year 02 Month 20 Day

Last modified on

2017 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030094