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Real-Time Ultrasound-Guided Spinal Anaesthesia : A Prospective Observational Study of a New Approach
Joint Authors
Conroy, P. H.
McHardy, P. G.
Luyet, C.
McCartney, Colin
Source
Anesthesiology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-01-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Identification of the subarachnoid space has traditionally been achieved by either a blind landmark-guided approach or using prepuncture ultrasound assistance.
To assess the feasibility of performing spinal anaesthesia under real-time ultrasound guidance in routine clinical practice we conducted a single center prospective observational study among patients undergoing lower limb orthopaedic surgery.
A spinal needle was inserted unassisted within the ultrasound transducer imaging plane using a paramedian approach (i.e., the operator held the transducer in one hand and the spinal needle in the other).
The primary outcome measure was the success rate of CSF acquisition under real-time ultrasound guidance with CSF being located in 97 out of 100 consecutive patients within median three needle passes (IQR 1–6).
CSF was not acquired in three patients.
Subsequent attempts combining landmark palpation and pre-puncture ultrasound scanning resulted in successful spinal anaesthesia in two of these patients with the third patient requiring general anaesthesia.
Median time from spinal needle insertion until intrathecal injection completion was 1.2 minutes (IQR 0.83–4.1) demonstrating the feasibility of this technique in routine clinical practice.
American Psychological Association (APA)
Conroy, P. H.& Luyet, C.& McCartney, Colin& McHardy, P. G.. 2013. Real-Time Ultrasound-Guided Spinal Anaesthesia : A Prospective Observational Study of a New Approach. Anesthesiology Research and Practice،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-478657
Modern Language Association (MLA)
Conroy, P. H.…[et al.]. Real-Time Ultrasound-Guided Spinal Anaesthesia : A Prospective Observational Study of a New Approach. Anesthesiology Research and Practice No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-478657
American Medical Association (AMA)
Conroy, P. H.& Luyet, C.& McCartney, Colin& McHardy, P. G.. Real-Time Ultrasound-Guided Spinal Anaesthesia : A Prospective Observational Study of a New Approach. Anesthesiology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-478657
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478657