Landmark-guided versus Real-time Ultrasound-guided Combined Spinal-epidural Anesthesia Techniques: Paramedian Sagittal Oblique and Transverse Interlaminar Approach.

IF 0.9 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Ultrasound Pub Date : 2023-07-07 eCollection Date: 2024-01-01 DOI:10.4103/jmu.jmu_22_23

Korgün Ökmen, Durdu Kahraman Yıldız

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引用次数: 0

Abstract

Background: There are different types of real-time ultrasound (US)-guided combined spinal epidural (CSE) anesthesia techniques. We aimed to investigate the effect of real-time US-guided paramedian sagittal oblique (PSO), transverse interlaminar (TI) approach method, and landmark-guided (LG) CSE anesthesia.

Methods: Ninety patients who underwent CSE block were included in the study. Patients were randomized into LG (n = 30), PSO (n = 30), and TI (n = 30) groups. The primary outcome was number of needle manipulations. The secondary outcomes are the number of attempts, needle visibility, procedure time, procedure success rate, catheter placement difficulty, posterior complex distance, and complications.

Results: The number of needle manipulations was statistically significantly lower in the LG technique group (P < 0.000). When the number of attempts, the difficulty of catheter placement, and the procedure's success rate were compared between the three groups, we did not find a statistically significant difference (P > 0.05). In addition, when the procedure times were compared, the time measured for the LG group was statistically significantly lower than in the PSO and TI groups (P < 0.000).

Conclusion: In the results of this study, the real-time US-guided CSE anesthesia application had a similar success and complication level with LG technique. The LG method had a shorter processing time and fewer needle manipulations.

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地标引导与实时超声引导脊柱硬膜外联合麻醉技术：旁侧矢状斜面和横向层间入路。

背景：实时超声（US）引导的脊柱硬膜外联合（CSE）麻醉技术有多种类型。我们的目的是研究实时 US 引导的矢状斜旁（PSO）、横向层间（TI）方法和地标引导（LG）CSE 麻醉的效果：研究纳入了 90 名接受 CSE 阻滞的患者。患者被随机分为 LG 组（30 人）、PSO 组（30 人）和 TI 组（30 人）。主要结果是针操作次数。次要结果是尝试次数、针头可见度、手术时间、手术成功率、导管置入难度、后方复合距离和并发症：结果：LG 技术组的针操作次数显著低于 LG 技术组（P < 0.000）。当比较三组的尝试次数、导管置入难度和手术成功率时，我们没有发现统计学上的显著差异（P > 0.05）。此外，在比较手术时间时，LG 组所测量的时间明显低于 PSO 组和 TI 组（P < 0.000）：本研究结果显示，实时 US 引导 CSE 麻醉应用的成功率和并发症水平与 LG 技术相似。LG方法的处理时间更短，针操作更少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.30

自引率

9.10%

发文量

审稿时长

10 weeks

期刊介绍： The Journal of Medical Ultrasound is the peer-reviewed publication of the Asian Federation of Societies for Ultrasound in Medicine and Biology, and the Chinese Taipei Society of Ultrasound in Medicine. Its aim is to promote clinical and scientific research in ultrasonography, and to serve as a channel of communication among sonologists, sonographers, and medical ultrasound physicians in the Asia-Pacific region and wider international community. The Journal invites original contributions relating to the clinical and laboratory investigations and applications of ultrasonography.