Real-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach.

Hdl Handle:
http://hdl.handle.net/10147/267993
Title:
Real-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach.
Authors:
Conroy, P H; Luyet, C; McCartney, C J; McHardy, P G
Affiliation:
Department of Anaesthesia, Adelaide and Meath National Children's Hospital, Tallaght, Dublin, Ireland.
Citation:
Real-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach. 2013, 2013:525818 Anesthesiol Res Pract
Journal:
Anesthesiology research and practice
Issue Date:
2013
URI:
http://hdl.handle.net/10147/267993
DOI:
10.1155/2013/525818
PubMed ID:
23365568
Abstract:
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.
Item Type:
Article
Language:
en
ISSN:
1687-6962

Full metadata record

DC FieldValue Language
dc.contributor.authorConroy, P Hen_GB
dc.contributor.authorLuyet, Cen_GB
dc.contributor.authorMcCartney, C Jen_GB
dc.contributor.authorMcHardy, P Gen_GB
dc.date.accessioned2013-02-01T13:06:02Z-
dc.date.available2013-02-01T13:06:02Z-
dc.date.issued2013-
dc.identifier.citationReal-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach. 2013, 2013:525818 Anesthesiol Res Practen_GB
dc.identifier.issn1687-6962-
dc.identifier.pmid23365568-
dc.identifier.doi10.1155/2013/525818-
dc.identifier.urihttp://hdl.handle.net/10147/267993-
dc.description.abstractIdentification 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.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Anesthesiology research and practiceen_GB
dc.titleReal-time ultrasound-guided spinal anaesthesia: a prospective observational study of a new approach.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Anaesthesia, Adelaide and Meath National Children's Hospital, Tallaght, Dublin, Ireland.en_GB
dc.identifier.journalAnesthesiology research and practiceen_GB
dc.description.provinceLeinsteren

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