Spinal and Epidural

Clinical Trial – Correlation Between VCL, AC and Spread of Intrathecal Hyperbaric Bupivacaine in the Term Parturient

Currently there is no guideline to decide on the most appropriate dose of spinal anaesthesia.
This study is planned to find out factors that influence the effect of spinal anaesthesia in
pregnant mother going for Caesarean section and both the mother and baby’s outcomes.
Investigators will recruit pregnant mothers who are planned for elective Caesarean section
under spinal anaesthesia at University Malaya Medical Centre before operation and obtained
their consent to participate in this study. Routine standard care will be provided for all
the participants. Perioperative data including vertebral column length and abdominal girth
measured by measuring tape will be collected and analysed. There is no new intervention
performed on participants.

Clinical Trial – Comparison of Three Different Sitting Positions for Performing Combined Spinal-Epidural Anesthesia

In this prospective and randomized study, we aimed to compare the effect of of three sitting
positions (the traditional sitting position (TSP), the harmstring stretch position (HSP), and
the squatting position on the success rate of combined spinal epidural anesthesia in patients
undergoing total knee arhtoplasty (TKA) or total hip arthroplasty (THA) surgery.

Clinical Trial – Comparative Study Between Bilateral and Unilateral Spinal Anaesthesia

The purpose of this study is to compare unilateral spinal anesthesia using hyperbaric
Prilocaine with "classical bilateral spinal anesthesia" using plain Prilocaine according to
block characteristics and quality of micturition, standardized to the subjects own functional
bladder capacity. Our hypothesis is that unilateral spinal anesthesia will provide faster
time to micturtition and discharge, lesser hypotension and lesser micturition problems.

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