A comparative study of ultrasound assisted versus landmark technique for combined spinal-epidural anaesthesia in patients undergoing lower limb orthopaedic surgery.
Epidural
orthopaedic
spinal
ultrasonography
Journal
Indian journal of anaesthesia
ISSN: 0019-5049
Titre abrégé: Indian J Anaesth
Pays: India
ID NLM: 0013243
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
18
08
2021
revised:
11
03
2022
accepted:
28
03
2022
entrez:
6
6
2022
pubmed:
7
6
2022
medline:
7
6
2022
Statut:
ppublish
Résumé
Spinal anatomy is better visualised in the para sagittal oblique view with the aid of ultrasonography. The present study was undertaken to investigate whether preprocedural ultrasonography can facilitate the ease of establishing combined spinal epidural (CSE) via paramedian approach versus landmark approach in patients undergoing lower limb orthopaedic surgery. This prospective randomised study was conducted in 100 American Society of Anesthesiologists (ASA) grade I-II patients, aged 18-60 years requiring CSE and randomly divided into two groups: Ultrasound-assisted (USG) group (n = 50) and Surface landmark (SLG) group (n = 50). The primary outcome was to compare the first pass needle success rate to establish CSE and the secondary outcomes were to compare the number of needle puncture attempts, time to establish landmarks (t1), time to accomplish CSE (t2) and complications. First pass needle success rate in USG group was 43 (86.0%) versus 36 (60.0%) in SLG group ( Preprocedural USG for CSE via paramedian approach increases first pass needle success rate and reduces needle puncture attempts in patients undergoing lower limb orthopaedic surgery.
Sections du résumé
Background and Aims
UNASSIGNED
Spinal anatomy is better visualised in the para sagittal oblique view with the aid of ultrasonography. The present study was undertaken to investigate whether preprocedural ultrasonography can facilitate the ease of establishing combined spinal epidural (CSE) via paramedian approach versus landmark approach in patients undergoing lower limb orthopaedic surgery.
Methods
UNASSIGNED
This prospective randomised study was conducted in 100 American Society of Anesthesiologists (ASA) grade I-II patients, aged 18-60 years requiring CSE and randomly divided into two groups: Ultrasound-assisted (USG) group (n = 50) and Surface landmark (SLG) group (n = 50). The primary outcome was to compare the first pass needle success rate to establish CSE and the secondary outcomes were to compare the number of needle puncture attempts, time to establish landmarks (t1), time to accomplish CSE (t2) and complications.
Results
UNASSIGNED
First pass needle success rate in USG group was 43 (86.0%) versus 36 (60.0%) in SLG group (
Conclusion
UNASSIGNED
Preprocedural USG for CSE via paramedian approach increases first pass needle success rate and reduces needle puncture attempts in patients undergoing lower limb orthopaedic surgery.
Identifiants
pubmed: 35663223
doi: 10.4103/ija.ija_775_21
pii: IJA-66-272
pmc: PMC9159393
doi:
Types de publication
Journal Article
Langues
eng
Pagination
272-277Informations de copyright
Copyright: © 2022 Indian Journal of Anaesthesia.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Anaesthesiol Clin Pharmacol. 2019 Oct-Dec;35(4):522-527
pubmed: 31920238
Eur J Anaesthesiol. 2004 Jan;21(1):25-31
pubmed: 14768920
Anesthesiology. 2011 Jul;115(1):94-101
pubmed: 21572316
Indian J Anaesth. 2019 Nov;63(11):924-931
pubmed: 31772401
Indian J Anaesth. 2018 Jan;62(1):53-60
pubmed: 29416151
J Anaesthesiol Clin Pharmacol. 2017 Jan-Mar;33(1):16-27
pubmed: 28413269
Indian J Anaesth. 2021 May;65(5):356-361
pubmed: 34211192
Anaesthesia. 2018 Apr;73(4):466-473
pubmed: 29322504
BMC Anesthesiol. 2020 Sep 28;20(1):248
pubmed: 32988366
Anesth Analg. 2019 Jul;129(1):155-161
pubmed: 30234528
Anesth Analg. 2015 Oct;121(4):1089-1096
pubmed: 26270115
Anesth Analg. 2007 Dec;105(6):1855-7, table of contents
pubmed: 18042894
Br J Anaesth. 2009 Jun;102(6):845-54
pubmed: 19398454
Indian J Anaesth. 2013 Jul;57(4):364-70
pubmed: 24163450
Indian J Anaesth. 2019 Jun;63(6):491-493
pubmed: 31263302
BMC Anesthesiol. 2019 Nov 11;19(1):208
pubmed: 31711438
N Engl J Med. 2005 Feb 17;352(7):655-65
pubmed: 15716559
Eur J Anaesthesiol. 2019 Oct;36(10):763-771
pubmed: 31188153
Acta Anaesthesiol Scand. 2001 Jul;45(6):766-71
pubmed: 11421838