An observational study in Spinal Anesthesia, sponsored by KK Women's and Children's Hospital. Active, not recruiting. Open to female participants aged 21 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-07.
Sponsored by KK Women's and Children's Hospital · Observational
The overall aim of this study is to develop an automated spinal landmark identification system to improve patient safety and efficacy of neuraxial procedure needle insertion success.
This is a prospective cohort study to evaluate the accuracy of the automated spinal landmark identification technique using image processing system based on identification by experienced investigator using ultrasound in subjects requiring spinal anesthesia.
Neuraxial procedures are commonly performed with wide range of therapeutic and diagnostic indications. Applications include neuraxial anesthesia for surgery, epidural labour analgesia, epidural steroid injections and lumbar punctures. The current blind palpation landmark technique is known to be highly inaccurate and may increase the risk of multiple insertion attempts, patient suffering and complication rates such as spinal cord injury. A key challenge for neuraxial procedures is the correct identification of needle insertion site.
The ultrasound imaging technique has found its way to neuraxial procedures as an imaging method to detect the inner anatomical structure of the lumbar spine and is superior to the traditional palpation method. However, a full interpretation of ultrasound images requires professional training and experience.
The overall aim of this proposal is to develop an automated spinal landmark identification system to improve patient safety and efficacy of neuraxial procedure needle insertion success. The primary aim is to develop an automated spinal landmark identification algorithm using image processing system to achieve 90% 1st spinal needle success rate within 12 months. The investigators will recruit 100 subjects in a prospective cohort study to investigate the spinal needle success rate as a clinically relevant outcome.
KK Women's and Children's Hospital is the lead sponsor of 136 studies on the registry; 33 are open to participants now.
Counted across the registry records on this site, refreshed daily.
The women whose age between 21-75 years old who required spinal anaesthesia for surgical procedure.
Exclusion Criteria:
First attempt success rate of spinal anaesthesia
First attempt success rate of spinal anaesthesia
Time frame: 12 hours
Number of spinal attempts
The number of attempts to achieve successful spinal anaesthesia
Time frame: 12 hours
Time taken to identify the ligamentum flavum in the transverse view
Time taken to identify the ligamentum flavum in the transverse view
Time frame: 12 hours
Distance from skin to ligamentum flavum
Distance from skin to ligamentum flavum
Time frame: 12 hours
No study locations are listed for this record.
This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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KK Women's and Children's Hospital