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Predictors of Unilateral Spinal Block Success
Sponsor: Izmir City Hospital
Summary
This prospective observational study aims to determine the factors affecting the success of unilateral spinal anesthesia in patients undergoing orthopedic lower extremity surgery. Unilateral spinal anesthesia is preferred to minimize unwanted effects such as hypotension and to provide more stable hemodynamic conditions, especially in vulnerable patient populations. Unilateral spinal anesthesia is defined as achieving sensory and motor block predominantly on the operated side without significant contralateral spread. However, the factors influencing the success of this technique have not been fully clarified. This study will evaluate various patient-related and procedure-related factors, including age, sex, body mass index, patient positioning, needle type and orientation, injection technique and local anesthetic dose. The primary outcome is the success of unilateral spinal anesthesia, defined as the absence of contralateral block. The results of this study are expected to contribute to improving clinical practice by identifying major and minor factors affecting block success and optimizing anesthesia techniques.
Official title: Determination of Factors Affecting Success in Unilateral Spinal Anesthesia: A Prospective Observational Study
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
OBSERVATIONAL
Enrollment
318
Start Date
2025-08-10
Completion Date
2026-02-01
Last Updated
2026-05-12
Healthy Volunteers
No
Locations (1)
İzmir City Hospital
Izmir, Turkey (Türkiye)