Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Richa Chandra, Gaurav Misra*, Pradeep Pokharia and P K Singh
Background: Subarachnoid block is most widely used block all over world amongst all the practices of anesthesia. Thoracic spinal anesthesia a new armamentarium in regional anesthesia has replaced general anesthesia in many cases. But to start this understanding of anatomy of thoracic region is very important. Available studies showed anatomical structures of western world only. India being largest population in the world needs data’s of MRI studies of the persons residing here. This study was done to understand the essentials for thoracic spinal anesthesia by MRI studies.
Materials and methods: The study was done in a tertiary care center with teaching facilities after taking approval from ethical committee and with patient’s consent that this data will be used for study and research purpose. 35 patients were included in the study and MRI study was done with 3.0 Tesla machine in supine position. All the scans retrospectively and calculations were performed at T5, T10 and L1 level of spinal cord.
Results: The anatomy of thoracic spinal canal was studied using magnetic resonance imaging in 35 patients at the MRI facility. All the study subjects underwent MRI in supine position, as most of MRI machines are compatible with supine and not sitting position during procedure.
We can conclude after comparison that the difference between dura mater and spinal cord is more at above measured thoracic level as compared to lumbar areas. This dura to cord distance is maximum at T5 level followed by T10 level and least at L1 level.
Conclusion: We can conclude that distance between dura mater to spinal cord is maximum at T5 level, followed by T10 level. This distance can be safely used for thoracic anesthesia by the expert anesthesiologist.
Published Date: 2024-08-27; Received Date: 2024-07-26