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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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The Effect of Hip Shoulder Width Ratio and Vertebral Column Length on The Spread of Spinal Anaesthesia in Term Parturient in Elective Caesarean Section: A Prospective Study

N.V. Pooja, M.S. Abhishek and N. Chandana
Page: 224-228 | Received 20 Jul 2024, Published online: 16 Sep 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.10.224.228

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Abstract

The aim of the study is to determine the effect of age, height, weight, BMI, hip /shoulder width ratio and vertebral column length on the spread of spinal anaesthesia in term parturient. In pregnant patients, more cephalad spread of spinal anaesthesia is observed with a fixed dose of hyperbaric Bupivacaine who have larger hip width and relative narrow shoulder width. Hence, we hypothesized that increased cephalad spread of spinal anaesthesia maybe correlated with increase in hip /shoulder width ratio and vertebral column length recorded for 63 term parturients. Spinal anesthesia was performed using strict aseptic precautions through L3‐L4 space by injecting 0.5% bupivacaine 3mL (depending on patient’s height). Pearson and Superman’s Rho correlation tests were used for the analysis of correlation between patient characteristics and separate spread of spinal anaesthesia. There was a significant correlation between hip/shoulder width ratio and cephalad spread of spinal anesthesia (P=0.009). Other patient characteristics has no correlation between cephalad spread of spinal Anesthesia (P=0.05). Vertebral column length had correlation with height of the patient. There is a strong correlation between the cephalad spread of spinal anesthesia and hips/shoulder width ratio in term parturients. Vertebral column length has no correlation with spinal anesthesia. There was no correlation between patient’s height, vertebral column length, age, BMI in predicting cephalad spread of spinal anesthesia.

How to cite this article:

N.V. Pooja, M.S. Abhishek and N. Chandana. The Effect of Hip Shoulder Width Ratio and Vertebral Column Length on The Spread of Spinal Anaesthesia in Term Parturient in Elective Caesarean Section: A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.224.228
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.224.228