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
em Ko
| WPRIM
| ID: wpr-55503
Biblioteca responsável:
WPRO
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.
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Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Pele
/
Espaço Subaracnóideo
/
Cesárea
/
Maleabilidade
/
Espaço Epidural
/
Anestesia
/
Obesidade
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1999
Tipo de documento:
Article