Epidural training under the microscope: which technique works best for new doctors?
NCT ID NCT07573007
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study watches anesthesia residents as they place epidural catheters in 440 patients having elective surgery. It compares two common techniques—loss of resistance and hanging drop—to see which leads to more first-attempt successes and fewer complications like accidental dural puncture. The goal is to improve training and patient safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could identify which epidural placement technique works best for trainees, potentially improving training and patient outcomes.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly benefit participants. Results may not apply to all hospitals or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 440 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients scheduled for elective/emergency surgery with planned perioperative epidural analgesia or anesthesia at Marmara University Pendik Training and Research Hospital, Department of Anesthesiology and Reanimation.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18-80 years * ASA physical status I, II, or III * Scheduled for elective surgery requiring perioperative epidural analgesia or anesthesia (lumbar or thoracic approach) * Epidural catheter to be placed by a resident with ≥ 2 years of anesthesia training Exclusion Criteria: * Spinal deformity (scoliosis, kyphosis, or prior spinal surgery at the target level) * Coagulopathy or anticoagulant therapy precluding neuraxial blockade * Active infection at the insertion site or systemic infection * Pre-existing neurological disease affecting the spinal cord or nerve roots * Emergency surgery * History of prior failed epidural catheterization * Patient refusal or inability to provide written informed consent * Local anatomical pathology precluding safe epidural access
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Marmara University Pendik Training and Research Hospital
Istanbul, Maltepe, 34852, Turkey (Türkiye)
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