Paramedian Approach Spinal Anesthesia -

ceived spinal anesthesia with midline approach or Group P patients received spinal anesthesia with paramedian approach by systemic randomization. Each group had 50 patients. Preoperative evaluation and routine investigations were done. All the patients were pre-loaded with 500 ml Ringer’s lactate and monitoring was done with ECG, heart. Paramedian Approach Technique. Prepare your lumbar puncture kit. You will use the same equipment, positioning, local anesthesia, and sterile technique as you would for the midline approach. A longer spinal needle may be required since you are approaching the subarachnoid space at an angle. The patient can be positioned in the lateral recumbent. The aim of this study was to evaluate the success rate of median and paramedian approach in spinal anesthesia in geriatric patients, number of trials, number of attempts at another interval due to failure, duration of procedure, patient comfort, change to other method in case of failure and success rate. Keywords: Caesarean delivery, Spinal anaesthesia, Median approach, Paramedian approach, PDPH. Introduction Regional anaesthesia, especially spinal anaesthesia, is most commonly used for caesarean delivery CD. Spinal anesthesia can be achieved either through the median or paramedian approach. Headache or PDPH parturient is.

We use cookies to make interactions with our website easy and meaningful, to better understand the use of our services, and to tailor advertising. We conclude that the incidence of postspinal headache and low backache in paramedian was lesser than median approach. However, it needs further investigation on more randomized control trials to know the effectiveness of paramedian approach of spinal anesthesia in decreasing the incidence of postspinal headache and low backache. Ultrasound-guided spinal anesthesia is an attracting and advanced technique. We developed a new paramedian transverse approach for real-time ultrasound-guided spinal anesthesia. Using this approach, the block can be performed with the dominant hand whether in right or left lateral decubitus or sitting position. Our preliminary experience in 42 orthopedic and obstetric patients showed it could. Consider the Paramedian Approach for Thoracic Epidural Placement, Especially at the Midthoracic Level Amit Sharma MD You are scheduled to do the anesthesia for a lung resection for a 68-year-old man with severe chronic obstructive pulmonary disease. You usually use intrathecal preservative-free morphine for this type of case. Today, however, you hear from the surgical. Corning in 1885, accidently administered cocaineintrathecally. Quinckein 1891, madeuseof spinal puncture in diagnosis. August bier of Germany in 1898, introduced the techniqueof spinal anesthesia. Pitkin popularized themethod of introducing agent'sintrathecally. hiSTory 4.

ORIGINAL ARTICLE 298 P J M H S Vol. 10, NO. 1, JAN – MAR 2016 Comparison of Postdural Puncture Headache in Median and Paramedian Approach under Spinal Anesthesia in Cesarean. 07.01.2020 · Incidence of newly developed postoperative low back pain with median versus paramedian approach for spinal anesthesia. Lee JH1, Yoon DH1, Heo BH1. Author information: 1Department of Anesthesiology and Pain Medicine, Gwangju Christian Hospital, Yangnim-dong, Nam-gu, Gwangju 503-715, Republic of Korea.

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