지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 132 - 136 (5page)
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초록· 키워드
오류제보하기
Background: Pre-procedural lumbar ultrasound scanning is a reliable tool to estimate the skin to epidural distance (SED). We conducted an observational study to compare the SED between the sitting position and lateral position using pre-procedural ultrasound imaging of the lumbar spine in parturients. Methods: Using a 2–5 MHz curvilinear transducer, we obtained images of the lumbar interspaces from L2-3 to L5-S1 in the paramedian sagittal oblique view. The individual distance from the skin to the ligamentum flavum-dura mater unit was measured at the level of L2-3, L3-4, L4-5, and L5-S1 in the left lateral position (distance in lateral position; D-lat). Subsequently, participants were placed in the sitting position, and the distance was measured in the same manner (distance in sitting position; D-sit). Data were grouped according to body mass index (BMI; kg/m2) measurements of ≥ 25 or ＜ 25 and analyzed. The primary outcome was the change determined by ultrasound between D-lat and D-sit at the same lumbar level according to position. Results: Thirty parturients were studied. The difference between D-lat and D-sit in the same lumbar level was not statistically significant. The mean changes between D-lat and D-sit in the same lumbar level were less than 0.18 cm. In BMI ≥ 25 group, the difference between D-lat and D-sit were greater than that of BMI ＜ 25 group at L3-4 level (P = 0.042). Conclusions: It is important for clinicians to consider that position change is associated with greater differences in SED in obese parturients (BMI ≥ 25) compared with thin parturients (BMI ＜ 25). For obese parturients, the sitting position may be helpful.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Pan PH / 2004 / Incidence and characteristics of failures in obstetric neuraxial analgesia and anesthesia: a retrospective analysis of 19,259 deliveries / Int J Obstet Anesth 13:227~233
차수만 / 2011 / 한국 성인의 피부에서 요추부 경막외강까지의 깊이 / Anesthesia and Pain Medicine 6(1):16~20
Sharma V / 2011 / Effect of ethnicity and body mass index on the distance from skin to lumbar epidural space in parturients / Anaesthesia 66:907~912
Hamza J / 1995 / Parturient's posture during epidural puncture affects the distance from skin to epidural space / J Clin Anesth 7:1~4
Hamilton CL / 1997 / Changes in the position of epidural catheters associated with patient movement / Anesthesiology 86:778~784
차수만 / 2011 / 한국 성인의 피부에서 요추부 경막외강까지의 깊이 / Anesthesia and Pain Medicine 6(1):16~20
Sharma V / 2011 / Effect of ethnicity and body mass index on the distance from skin to lumbar epidural space in parturients / Anaesthesia 66:907~912
Hamza J / 1995 / Parturient's posture during epidural puncture affects the distance from skin to epidural space / J Clin Anesth 7:1~4
Hamilton CL / 1997 / Changes in the position of epidural catheters associated with patient movement / Anesthesiology 86:778~784
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