| Accuracy in estimating the correct intervertebral space level during lumbar, thoracic and cervical epidural anaesthesia. | |
| | |
MedLine Citation:
|
PMID: 14982569 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Even in the absence of factors concealing anatomical landmarks, high failure rates in correctly determining a given lumbar interspace have been reported. METHODS: Therefore, it was the aim of the present study to compare the assessed and factual level (determined by computed tomography) of epidural puncture in attending a regional anaesthesia cadaver workshop. Eighty-two anaesthetists performed 117 punctures. RESULTS: Vertebral interspaces between T8-L4 were correctly identified more often than those between C3-T5 (P < 0.05). Identification of an arbitrarily chosen vertebral interspace was excellent in both the cervical/high thoracic and thoracic/lumbar regions. CONCLUSION: As previously conjectured only for the lumbar region, we could confirm the tendency of anaesthetists to perform neuraxial puncture more cranially than expected also for the thoracic and cervical regions. The large majority of punctures (93.7%) was performed within one interspace of the predicted level. |
| | |
Authors:
|
P Lirk; H Messner; M Deibl; G Mitterschiffthaler; J Colvin; B Steger; J Rieder; C Keller |
Related Documents
:
|
2694389 - The neuroradiographic diagnosis of lumbar herniated nucleus pulposus: ii. a comparison ... 16247229 - A case report of rapidly progressing cauda equina symptoms due to rheumatoid arthritis. 12518259 - Imaging problems and clinical findings in adolescent lumbar disc herniation: a retrospe... 16102879 - Vertebral fractures and separations of endplates after traumatic loading of adolescent ... 18955509 - Lumbar spine: reliability of mr imaging findings. 19714609 - Magnetic resonance imaging assessment of spinal inflammation in ankylosing spondylitis:... 21589699 - Muscle repositioning: combining subjective and objective feedbacks in the teaching and ... 12747439 - General n-dimensional quadrature transform and its application to interferogram demodul... 3422689 - Lateral transcranial radiography of temporomandibular joints. part ii: image formation ... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Acta anaesthesiologica Scandinavica Volume: 48 ISSN: 0001-5172 ISO Abbreviation: Acta Anaesthesiol Scand Publication Date: 2004 Mar |
Date Detail:
|
Created Date: 2004-02-25 Completed Date: 2004-06-21 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370270 Medline TA: Acta Anaesthesiol Scand Country: Denmark |
Other Details:
|
Languages: eng Pagination: 347-9 Citation Subset: IM |
Affiliation:
|
Department of Anaesthesiology and Critical Care Medicine, University of Innsbruck, Innsbruck, Austria. plirk@mcw.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anesthesia, Epidural
/
methods*,
statistics & numerical data Anesthesiology / education Cadaver Cervical Vertebrae / anatomy & histology* Chi-Square Distribution Humans Internship and Residency Lumbar Vertebrae / anatomy & histology* Spinal Puncture / statistics & numerical data Thoracic Vertebrae / anatomy & histology* Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Inclusion of epinephrine to hyperbaric tetracaine and the supine position enhance the cephalad sprea...
Next Document: Anaesthesiological airway management in Denmark: assessment, equipment and documentation.