Does lumbar ultrasonography improve epidural catheterization for labor analgesia? A randomized controlled study

dc.authoridKamil Toker / 0000-0002-3168-0489
dc.authorscopusidKamil Toker / 6701531341
dc.authorwosidKamil Toker / AAX-3866-2020
dc.contributor.authorBalaban O.
dc.contributor.authorŞahin T.
dc.contributor.authorŞahin L.
dc.contributor.authorSolak M.
dc.contributor.authorToker, Kamil
dc.date.accessioned2020-08-30T20:01:40Z
dc.date.available2020-08-30T20:01:40Z
dc.date.issued2017
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionToker, Kamil (isu author)
dc.description.abstractBackground: Palpation of anatomic landmarks is difficult in pregnant patients due to physiological changes. This can complicate epidural catheterization and determination of needle insertion site to place an epidural catheter. The purpose of our study was to compare prepuncture lumbar ultrasonography and palpation method for epidural needle insertion among pregnant. Methods: Forty parturients scheduled for labor analgesia were randomized into two groups: Ultrasound group (n=20) and control group (n=20). Needle insertion point was identified by lumbar ultrasonography in ultrasound group and by palpation in control group. We recorded number of puncture attempts, number of necessary puncture levels, epidural catheterization time and complications during epidural catheterization. Results: Number of puncture attempts was 1.35±0.58 in ultrasound group and 1.2±0.4 in control group. Number of puncture levels was 1.05±0.22 in ultrasound group and 1.10 ±0.3 in control group. Duration of epidural procedure was 93 seconds in ultrasound group and 88 seconds in control group. No statistically significant differences were found between the two groups. Sudden low back pain during needle insertion was significantly lower in ultrasound group (p=0.03). Conclusions: Pre-puncture lumbar ultrasonography lowered sudden back pain during needle insertion. Ultrasound guidance did not reduce number of puncture attempts, necessary puncture levels and time of epidural catheterization among normal weight pregnant. © 2017, American University of Beirut. All rights reserved.en_US
dc.identifier.citationBalaban, O. N. U. R., Sahin, T. U. L. A. Y., Sahin, L. E. V. E. N. T., Solak, M. İ. N. E., & Toker, K. A. M. İ. L. (2017). Does lumbar ultrasonography improve epidural catheterization for labor analgesia? A randomized controlled study. Middle East J Anaesthesiol.en_US
dc.identifier.endpage96en_US
dc.identifier.issn0544-0440en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage89en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/351
dc.identifier.volume24en_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorToker, Kamilen_US
dc.language.isoenen_US
dc.publisherAmerican University of Beiruten_US
dc.relation.ispartofMiddle East Journal of Anesthesiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural Catheterizationen_US
dc.subjectLabor Analgesiaen_US
dc.subjectPre-Puncture Ultrasonographyen_US
dc.titleDoes lumbar ultrasonography improve epidural catheterization for labor analgesia? A randomized controlled studyen_US
dc.typeArticleen_US

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