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Table 2 Procedural data relating to the TEP in the two study groups

From: Real-time ultrasound-guided versus anatomic landmark-based thoracic epidural placement: a prospective, randomized, superiority trial

 

Conventional Group (n = 48)

Ultrasound Group (n = 48)

P value

1. First-pass success;

17 (35.4)

33 (68.8)

0.002

 n (%) (95% CI)

(21.9 to 49.0)

(55.6 to 81.9)

 

2. TEP successa;

44 (91.7)

48 (100)

0.117

 n (%) (95% CI)

(83.9 to 99.5)

(100 to 100)

 

3. Overall TEP failure rateb;

5 (10.4)

0 (0)

0.056

 n (%) (95% CI)

(1.77 to 19.06)

(0 to 0)

 

4. Number of skin punctures

2 [1 to 2.25]

1 [1 to 1]

 < 0.001

5. Number of attempts

3 [1 to 7.2]

1 [1 to 2]

 < 0.001

6. Success rate of TEP with

   

 each attempt; n (%)

  

 < 0.001

 One attempt

17 (35.4)

33 (68.8)

 

 Two attempt

4 (8.4)

10 (20.8)

 

 Three attempt

5 (10.4)

3 (6.2)

 

 Four attempts

5 (10.4)

2 (4.2)

 

 ≥ Five attempts

17 (35.4)

0 (0.0)

 

7. Preparation time (min)

5 [3.8 to 6]

13.5 [11 to 15]

 < 0.001

8. TEP time (min)

2 [1 to 4]

1.5 [1 to 3]

0.190

9. Total procedure time (min)

10 [7 to 14]

15.5 [14 to 20.2]

 < 0.001

10. Discomfort score (0–10)

1 [0 to 5]

0 [0 to 4.2]

0.44

  1. Data are presented as a frequency (percentage), n (%), frequency (percentage) (95% confidence interval), n (%) (95% CI), or median [IQR Q1 to Q3]. a the calculate according to the definition of success TEP (achieve a loss of resistance technique and able to insert the catheter), b the calculation from primary failure TEP, and included intraoperative catheter failure, CI confidence interval, IQR interquartile rang, TEP thoracic epidural placement