Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation

Küçük Resim Yok

Tarih

2023

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Galenos Publ House

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: During neuraxial anaesthesia, correct patient positioning is key for increased block success and (patient) comfort. The aim of this prospective study was to compare the lateral fetal decubitus (LFD) position with the sitting fetal lotus (SFL) regarding interspinous distance, transverse diameters of paravertebral muscles measured with ultrasonography, and patient comfort. Methods: Fifty adult participants who could sit cross-legged and had no lumbar anomalies were included in our prospective study. In both SFL and LFD positions, measurements were performed with ultrasonography; in the axial plane, interspinous distance at the level of L4-L5, in the sagittal plan, with the probe slightly tilted, subcutaneous tissue-spinous process depth, and transverse diameters of paravertebral muscles were measured. Stretcher, waist position, and abdominal comfort were scored on a scale of 1 (very bad) to 7 (perfect) with a verbal numeric satisfaction scale. Results: Interspinous distance was significantly larger in the SFL position than in the LFD position (P < 0.05). There was no significant difference between the two positions (P > 0.05) regarding patient comfort. Paravertebral muscle diameters were significantly broader in the SFL position than in the LFD position. The diameter of the left paravertebral muscle in the SFL position (45.8 +/- 8.8 mm) was larger than that in the LFD position (43 +/- 7.8 mm; P < 0.001). The diameter of the right paravertebral muscle in the SFL position was (47 +/- 9 mm) larger than that in the LFD position (43.4 +/- 7.6 mm; P < 0.001). Conclusion: Although there was no difference regarding the comfort between the two positions, the interspinous distance was larger in the SFL position than in the LFD position.

Açıklama

Anahtar Kelimeler

Anatomy, Lumbar Intervertebral Distance, Neuraxial Anaesthesia, Patient Position, Ultrasonography

Kaynak

Turkish Journal of Anaesthesiology and Reanimation

WoS Q Değeri

N/A

Scopus Q Değeri

Q3

Cilt

51

Sayı

6

Künye