A Study on the Distance from Epidural Space to Subarachnoid Space in Combined Spinal-Epidural Anesthesia for Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 1060-1067, 1999.
Article
in Korean
| WPRIM
| ID: wpr-55503
ABSTRACT
BACKGROUND:
Combined spinal-epidural anesthesia (CSEA) has gained an increasing interest as it combines the reliability of a spinal block and the flexibility of an epidural block. This study was designed to determine the distance from skin to epidural space (S-EP) and the distance from epidural space to subarachnoid space (E-SA) in obstetric parturient and whether weight, height, BMI (body mass index) and PI (ponderal index) might influence S-EP and E-SA.METHODS:
Sixty obstetric patients undergoing elective cesarean section during CSEA in L3-4 level were partitioned into group I (with dural click), group II (no dural click) and in each group, weight (prepregnancy, pregnancy), height, BMI and PI were measured. Measurements of S-EP and E-SA were made. The Pearson correlation was used to investigate relationships between S-EP, E-SA and patient characteristics (height, weight, BMI, PI).RESULTS:
S-EP was 4.39+/-0.49 cm and E-SA was 8.23+/-2.05 mm (7.99+/-2.07 mm in group I, 8.78+/-1.94 mm in group II). S-EP was related to weight, BMI and PI except height. E-SA was related to pregnancy BMI and pregnancy PI in group I. No correlation was found between E-SA and other variables in group II.CONCLUSIONS:
E-SA in obstetric parturients was related to obesity and has been found to be somewhat larger and more variable due to the segmented and discontinous nature of epidural space.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Subarachnoid Space
/
Cesarean Section
/
Pliability
/
Epidural Space
/
Anesthesia
/
Obesity
Limits:
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1999
Type:
Article
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