Volume : IX, Issue : VIII, August - 2019

To study the use of ultrasound for identification of intrathecal space in lumbar region before spinal anesthesia in case of CAESEREAN section

Dr. Neena Gupta, Dr. Jyotsana Dwivedi, Dr. Renu Gupta, Dr. Uruj Jahan, Dr. Fatima Usmani

Abstract :

Background: “To study the use of ultrasound for identification of intrathecal space in lumbar region before spinal anesthesia in case of CAESEREAN section” Introduction – Spinal Anesthesia is most commomly given anesthesia in patients of lower segment caesarean section. Spinal anesthesia is a frequently used technique since it creates a quick deep sensory and motor block through the injection of a low dose of local anesthetic to the subarachnoid space. Several factors can cause procedural difficulty during spinal anesthesia like obesity ,spinal deformity ,and previous spinal surgery The use of ultrasound in regional anesthesia increases block success and decreases complications. Method:Prospective observational study conducted at department of obstetrics & gynaecology , GSVM Medical College Kanpur.100 pregnant patients planned for elective LSCS were included in the study and were divided into two groups – Group I (n=50) those where intrathecal space identified by palpation and Group II (n=50) where intrathecal space identified by ultrasound. Results– Number of attempts for successful blocks was less in Group II .The successful blocks on 1st needle attempt in Group II (36%) was significantly more than Group I (nil ). However, complications like paresthesia during procedure, bloody tap or traumatic puncture were less in Group II but Total procedural time was more. Conclusion: The identification of intrathecal space by ultrasound before spinal anesthesia in cesarean section significantly decreased the number of needle insertion,led to successful blocks and also decreased the incidence of complication but take longer time to complete the spinal procedure as compared to palpatory method. Still the identification of intrathecal space by palpation remain to be the gold standard for routine spinal procedure in uncomplicated cases as total time taken for the procedure is always less by palpatory method.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

TO STUDY THE USE OF ULTRASOUND FOR IDENTIFICATION OF INTRATHECAL SPACE IN LUMBAR REGION BEFORE SPINAL ANESTHESIA IN CASE OF CAESEREAN SECTION, Dr. Neena Gupta, Dr. Jyotsana Dwivedi, Dr. Renu Gupta, Dr. Uruj Jahan, Dr. Fatima Usmani INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-8 | August-2019

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