Comparision of Taylor’s Approach Vs Lumbar Approach for Below Unbilicus Surgeries in Cases of Patients with Deformed Spines
Journal Title: Journal of Anesthesia and Surgery - Year 2018, Vol 5, Issue 1
Abstract
Background and Aim: The paramedian technique was popular in patients with abnormal anatomy. Taylor modified the paramedian technique (Taylor’s approach) which is reliable and less traumatic alternative in deformed spine for establishing the subarachnoid block. The present study was aimed to compare midline lumbar approach vs Taylor’s approach in patients with deformed spine. Materials and methods: Total of 50 patients was included in the study had deformed spine with physical status I to III. The study conducted randomized into two equal groups of anaesthetist (A&B). Group A performed Taylor’s approach as method of the subarachnoid block while Group B performed lumbar technique. Level of decrease in blood pressure, patient rated pain and satisfaction and success of neuraxial blockade compared. Results: The success rate of neuraxial blockade was found to be 94%, patient satisfaction was 100 %, reduction in the incidence of hypotension in the Taylor’s approach. Conclusion: Excellent operating conditions with less side effect is the benefit of subarachnoid anaesthesia, however in patient with severe arthritis, anatomical problems and with scoliosis there is challenging task to perform good subarachnoid block. Taylor’s approach could provide a reliable and less traumatic alternative to midline approach for lumber puncture in deformed spine.
Authors and Affiliations
Usha Patel
Keywords
Related Articles
- EP ID EP418876
- DOI 10.15436/2377-1364.18.1874
- Views 81
- Downloads 0
Changes of Hemodynamics and Blood Glucose during Tracheal Intubation in the Geriatrics with Different Glycosylated Hemoglobin Levels
Background: The severe cardiovascular response following tracheal intubation has threatened geriatrics’ safety. HbA1c may be an independent risk predictor for the outcome of cardiovascular disease and/or DM. We investiga...
Comparative Study of Hernia Block with Bupivacaine Alone and Bupivacaine Plus Dexamethasone as Adjuvant for Open Hernia Repair at Day Care Unit
Introduction: Continuous research were undertaken in past to see the effect of anesthetic agent with adjuvant agents to increase their effect. The addition of adjuvant substances as clonidine, Dexmedetomidine, tramadol,...
Neutrophil to Lymphocyte Ratio as a Prognostic Biomarker for Morbidity and Mortality in Patients Undergoing Benign Surgery: A Systematic Review
Background: Neutrophil to lymphocyte ratio (NLR) reflects the degree of systemic inflammation. Several clinical trials have shown that a high preoperative NLR predicts morbidity and mortality after surgery for malignant...
Routine Mask Induction and Intubation without Paralysis may be Safer
Meticulous precautions cannot eliminate disasters with presently prevailing intravenous induction techniques. Elective mask induction and intubation with Sevoflurane optimizes safety by incorporating pre-oxygenation and...
Ultrasound Guided Transversus Abdominis Plane Block versus Intrathecal Nalbuphine Injection for Postoperative Analgesia in Preeclamptic Patients Undergoing Cesarean Section
Introduction: Post-cesarean section effective analgesia is important, effective pain release helps in early mobilization and declines threat of thromboembolic diseases. The transversus abdominis plane (TAP) block is a re...