EASE OF ACCESS TO THE SUBARACHNOID SPACE AND ITS ASSOCIATION WITH SPINOUS PROCESS DIMENSIONS, IN PATIENTS UNDERGOING SPINAL ANAESTHESIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 28
Abstract
BACKGROUND Spinal anaesthesia is a procedure commonly performed by the anaesthesiologist. Various reasons can lead to a difficulty in performing a lumbar puncture, leading to multiple attempts, thereby increasing chances of complications. Quality of anatomical landmarks is one of the predictors of successful performance of subarachnoid block. MATERIALS AND METHODS 245 patients scheduled for surgery under spinal anaesthesia were enrolled. Interspinous gap and spinous process width were the measured study variables. Patients were classified as either having easy access to subarachnoid space or not, as the outcome variable. Association between these was measured using Chi-square test. RESULTS Confirm that there is obvious association between the ease of access to the subarachnoid space and the interspinous gap and the spinous process width. On further analysis, after dividing the study population based on gender, it was found that the association between the study variables and outcome variable was statistically insignificant in the female population. CONCLUSION Techniques based on surface anatomy of landmarks provide only less than 70% first attempt success rate in performing subarachnoid block. Interspinous gap measured from surface landmarks by palpation correlates consistently with ease of access to subarachnoid space. Imaging confirmation of the palpated measurements for further validation may be considered in future studies
Authors and Affiliations
Vimal Pradeep, Ushadevi R. S
Keywords
Related Articles
- EP ID EP569137
- DOI 10.18410/jebmh/2018/439
- Views 60
- Downloads 0
PREPARATIVE SKIN PREPARATION AND SURGICAL WOUND INFECTION
BACKGROUND AND OBJECTIVE: It is an established fact now that the normal skin of healthy human beings harbours a rich bacterial flora. Normally considered nonpathogenic, these organisms way be a potential source of infect...
A COMPREHENSIVE ANALYSIS OF ISOLATED INFRANUCLEAR ABDUCENS NERVE PALSY IN A TERTIARY EYE CARE CENTRE
BACKGROUND A comprehensive analysis of the aetiology and clinical profile of isolated infranuclear abducens nerve palsy in a tertiary eye care centre. MATERIALS AND METHODS A hospital-based retrospective case series anal...
A COMPARISON OF THREE SUPRAGLOTTIC AIRWAY DEVICES: THE LMA CLASSIC, THE AMBU AURA40 LARYNGEAL MASK AND THE i-gel IN SPONTANEOUSLY BREATHING ANAESTHETISED PATIENTS
BACKGROUND To test and compare LMA Classic, Ambu Aura40 and i-gel in terms of ease of insertion, efficacy and complications. MATERIALS AND METHODS 90 patients between 18-70 years of age of ASA I and II scheduled for shor...
INTUSSUSCEPTION IN A CASE OF PEUTZ JEGHER SYNDROME: A CASE REPORT
PeutzJegher syndrome is a rare disorder characterized by mucocutaneous melanin deposits over lips, oral mucosa, fingers and multiple hamartomatous polyps in gastrointestinal tract. These individuals may present with smal...
COMPARATIVE STUDY OF DIFFERENT GRAFT MATERIALS IN MYRINGOPLASTY- TYPE I TYMPANOPLASTY
BACKGROUND Chronic otitis media is defined as chronic inflammation of mucoperiosteal lining of part or whole of the middle ear cleft characterized by ear discharge, a permanent perforation of tympanic membrane and impair...