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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparison Level of Lumbar Interspinous Space as Determined by Conventional Palpatory Method vs Ultrasound in Patients Who Underwent Neuraxial Anaesthesia

Ankita Chaudhary, C. Murugesan and Apoorva Naik
Page: 178-182 | Received 27 Nov 2023, Published online: 15 Jan 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.5.178.182

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Abstract

Neuraxial procedures are commonly performed for therapeutic and diagnostic indications. Neuraxial procedures are typically performed via a blind surface landmark and palpation guidance. Present study was aimed to compare level of lumbar interspinous space as determined by conventional palpatory method vs ultrasound in patients who underwent neuraxial anaesthesia. Present study was single‐center, prospective, observational study, conducted in adult patients between the age of 18‐70 years requiring neuraxial anaesthesia with or without general anaesthesia. The lumbar spines of all subjects were scanned by the ultrasound in the sitting position. A total of 61 patients (28 females and 33 males) were enrolled in the study. Of 61 patients, the location of the puncture mark was agreed by both palpation and ultrasound methods in 27 (44.3%) patients whereas the location was disagreed in 34 (55.7%) patients. After analysis of factors leading to misidentification of interspinous level, level of agreement is high (51.52%) for males when compared to females (35.71%) (p=0.21). Moderate agreement is there for sitting position of the patient (43.18%) when compared with the lateral position (47.06%) (p = 0.78). High level of agreement is there for the neuraxial block performed by consultant(55.56%) when compared with the resident (39.53%),but did not show any significant difference (p = 0.25). In underweight (100.00%) and normal weight (56.00%) patients the percentage of agreement is high whereas acceptable agreement is there for overweight patients (36.8%) and poor agreement for obese patients (26.7%) , p = 0.89. The agreement was strong for residents if the patient was in sitting position (76.47%) compared with consultants (60.00%). However, there is not much significant difference between the groups (p = 0.41). Ultrasound imaging can make the neuraxial anaesthesia more accurate with fewer risks of complications. This can enhance the patient’s overall safety, experience and satisfaction.

How to cite this article:

Ankita Chaudhary, C. Murugesan and Apoorva Naik. Comparison Level of Lumbar Interspinous Space as Determined by Conventional Palpatory Method vs Ultrasound in Patients Who Underwent Neuraxial Anaesthesia.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.178.182
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.178.182