Anesthesia & Clinical Research
Open Access

Wirinaree Kampitak

Publications

• Research Article
  Paramedian Spinal Anesthesia: Landmark vs. Ultrasound-guided Approaches
  Author(s): Wirinaree Kampitak1*, Thewarug Werawatganon2, Ketchada Uerpairojkit2 and Banchobporn Songthamwat1Wirinaree Kampitak1*, Thewarug Werawatganon2, Ketchada Uerpairojkit2 and Banchobporn Songthamwat1
  
  Background: Multiple attempts at needle redirection for paramedian spinal anesthesia can lead to significant complications, particularly in elderly patients. We hypothesized that ultrasound guidance may reduce the need for redirection (s), the associated discomfort, and complications in conventional landmark-guided paramedian spinal anesthesia. Methods: A total of 70 patients >65 years of age, undergoing total knee or hip arthroplasty, were randomly assigned to pre-procedural ultrasound-guided paramedian (PP) or conventional surface landmark-guided paramedian (CP) approach groups. The paramedian approach was performed at L3-4 in the lateral decubitus position. Results: The median number of needle redirection attempts was significantly lower in group PP (2 (interquartile range (IQR) 1-2)) than in group CP (4 (IQR 2-8.5)) (P<0.001). The median number of needle insertion attempts was .. View More»
  DOI: 10.4172/2155-6148.1000837

  Abstract PDF

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