Table of Contents Author Guidelines Submit a Manuscript
Table of Contents Alerts

To receive news and publication updates for Anesthesiology Research and Practice, enter your email address in the box below.

Anesthesiology Research and Practice
Volume 2013, Article ID 525818, 7 pages
http://dx.doi.org/10.1155/2013/525818
Clinical Study

Real-Time Ultrasound-Guided Spinal Anaesthesia: A Prospective Observational Study of a New Approach

P. H. Conroy,1 C. Luyet,2 C. J. McCartney,3 and P. G. McHardy3

1Department of Anaesthesia, Adelaide and Meath National Children’s Hospital, Tallaght, Dublin, Ireland
2Universitätsklinik für Anästhesiologie und Schmerztherapie, Inselspital, Bern University Hospital, 3010 Bern, Switzerland
3Department of Anesthesia, Sunnybrook Health Sciences Centre, Room M3-200, 2075 Bayview Avenue, Toronto, ON, Canada M4N 3M5

Received 30 August 2012; Accepted 15 November 2012

Academic Editor: Jean Jacques Lehot

Copyright © 2013 P. H. Conroy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. Bier, “Versuche über cocainisirung des rückenmarkes,” Deutsch Zeitschrift für Chirurgie, vol. 51, no. 3, pp. 352–358, 1899. View at Google Scholar
  2. C. R. Broadbent, W. B. Maxwell, R. Ferrie, D. J. Wilson, M. Gawne-Cain, and R. Russell, “Ability of anaesthetists to identify a marked lumbar interspace,” Anaesthesia, vol. 55, no. 11, pp. 1122–1126, 2000. View at Publisher · View at Google Scholar · View at Scopus
  3. H. Wulf, “Epidural anaesthesia and spinal haematoma,” Canadian Journal of Anaesthesia, vol. 43, no. 12, pp. 1260–1271, 1996. View at Google Scholar · View at Scopus
  4. H. Flaatten, J. Felthaus, R. Larsen, S. Bernhardsen, and H. Klausen, “Postural post-dural puncture headache after spinal and epidural anaesthesia. A randomised, double-blind study,” Acta Anaesthesiologica Scandinavica, vol. 42, no. 7, pp. 759–764, 1998. View at Google Scholar · View at Scopus
  5. D. A. Harrison and B. T. Langham, “Spinal anaesthesia for urological surgery. A survey of failure rate, postdural puncture headache and patient satisfaction,” Anaesthesia, vol. 47, no. 10, pp. 902–903, 1992. View at Publisher · View at Google Scholar · View at Scopus
  6. Y. Auroy, P. Narchi, A. Messiah, L. Litt, B. Rouvier, and K. Samii, “Serious complications related to regional anesthesia: Results of a prospective survey in France,” Anesthesiology, vol. 87, no. 3, pp. 479–486, 1997. View at Publisher · View at Google Scholar · View at Scopus
  7. R. Puolakka, J. Haasio, M. T. Pitkänen, M. Kallio, and P. H. Rosenberg, “Technical aspects and postoperative sequelae of spinal and epidural anesthesia: a prospective study of 3,230 orthopedic patients,” Regional Anesthesia and Pain Medicine, vol. 25, no. 5, pp. 488–497, 2000. View at Publisher · View at Google Scholar · View at Scopus
  8. T. T. Horlocker, D. G. McGregor, D. K. Matsushige, D. R. Schroeder, and J. A. Besse, “A retrospective review of 4767 consecutive spinal anesthetics: central nervous system complications,” Anesthesia and Analgesia, vol. 84, no. 3, pp. 578–584, 1997. View at Publisher · View at Google Scholar · View at Scopus
  9. K. J. Chin, A. Perlas, V. Chan, D. Brown-Shreves, A. Koshkin, and V. Vaishnav, “Ultrasound imaging facilitates spinal anesthesia in adults with difficult surface anatomic landmarks,” Anesthesiology, vol. 115, no. 1, pp. 94–101, 2011. View at Publisher · View at Google Scholar · View at Scopus
  10. K. J. Chin, V. W. S. Chan, R. Ramlogan, and A. Perlas, “Real-time ultrasound-guided spinal anesthesia in patients with a challenging spinal anatomy: two case reports,” Acta Anaesthesiologica Scandinavica, vol. 54, no. 2, pp. 252–255, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. P. J. Lee, R. Tang, A. Sawka, C. Krebs, and H. Vaghadia, “Real-time ultrasound-guided spinal anesthesia using taylor's approach,” Anesthesia and Analgesia, vol. 112, no. 5, pp. 1236–1238, 2011. View at Publisher · View at Google Scholar · View at Scopus
  12. T. Grau, R. U. W. Leipold, J. Horter, R. Conradi, E. O. Martin, and J. Motsch, “Paramedian access to the epidural space: the optimum window for ultrasound imaging,” Journal of Clinical Anesthesia, vol. 13, no. 3, pp. 213–217, 2001. View at Publisher · View at Google Scholar · View at Scopus
  13. M. M. Atallah, A. D. Demian, and A. A. Shorrab, “Development of a difficulty score for spinal anaesthesia,” British Journal of Anaesthesia, vol. 92, no. 3, pp. 354–360, 2004. View at Publisher · View at Google Scholar · View at Scopus
  14. J. Sprung, D. L. Bourke, J. Grass et al., “Predicting the difficult neuraxial block: a prospective study,” Anesthesia and Analgesia, vol. 89, no. 2, pp. 384–389, 1999. View at Publisher · View at Google Scholar · View at Scopus
  15. A. Rodgers, N. Walker, S. Schug et al., “Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials,” British Medical Journal, vol. 321, no. 7275, pp. 1493–1497, 2000. View at Google Scholar · View at Scopus
  16. J. Weed, K. Finkel, M. L. Beach, C. B. Granger, J. D. Gallagher, and B. D. Sites, “Spinal anesthesia for orthopedic surgery: a detailed video assessment of quality,” Regional Anesthesia and Pain Medicine, vol. 36, pp. 51–55, 2011. View at Publisher · View at Google Scholar
  17. T. Grau, R. W. Leipold, S. Fatehi, E. Martin, and J. Motsch, “Real-time ultrasonic observation of combined spinal-epidural anaesthesia,” European Journal of Anaesthesiology, vol. 21, no. 1, pp. 25–31, 2004. View at Publisher · View at Google Scholar · View at Scopus
  18. G. R. De Oliveira Filho, H. P. Gomes, M. H. Z. Da Fonseca, J. C. Hoffman, S. G. Pederneiras, and J. H. S. Garcia, “Predictors of successful neuraxial block: a prospective study,” European Journal of Anaesthesiology, vol. 19, no. 6, pp. 447–451, 2002. View at Google Scholar · View at Scopus
  19. M. J. Tessler, K. Kardash, R. M. Wahba, S. J. Kleiman, S. T. Trihas, and M. Rossignol, “The performance of spinal anesthesia is marginally more difficult in the elderly,” Regional Anesthesia and Pain Medicine, vol. 24, no. 2, pp. 126–130, 1999. View at Google Scholar · View at Scopus
  20. A. Carney and V. Hunt, “The use of neuraxial scanning can facilitate spinal anaesthesia for lower limb joint arthroplasty,” in Proceedings of the 15th Annual Scientific congress of the British Society of Orthopaedic Anaesthetists, vol. 66, pp. 407–408, Nottingham, UK, Novemeber 2010.
  21. P. D. W. Fettes, J. R. Jansson, and J. A. W. Wildsmith, “Failed spinal anaesthesia: mechanisms, management, and prevention,” British Journal of Anaesthesia, vol. 102, no. 6, pp. 739–748, 2009. View at Publisher · View at Google Scholar · View at Scopus
  22. D. Tran, A. A. Kamani, E. Al-Attas, V. A. Lessoway, S. Massey, and R. N. Rohling, “Single-operator real-time ultrasound-guidance to aim and insert a lumbar epidural needle,” Canadian Journal of Anesthesia, vol. 57, no. 4, pp. 313–321, 2010. View at Publisher · View at Google Scholar · View at Scopus
  23. M. K. Karmakar, X. Li, A. M. H. Ho, W. H. Kwok, and P. T. Chui, “Real-time ultrasound-guided paramedian epidural access: evaluation of a novel in-plane technique,” British Journal of Anaesthesia, vol. 102, no. 6, pp. 845–854, 2009. View at Publisher · View at Google Scholar · View at Scopus
  24. T. M. Cook, “Combined spinal-epidural techniques,” Anaesthesia, vol. 55, no. 1, pp. 42–64, 2000. View at Publisher · View at Google Scholar · View at Scopus
  25. Body Composition of Canadian Adults 2007 to 2009. Canadian Health Measures Survey, 2007 to 2009. National Health and Nutrition Examination Survey, 2007-2008.
  26. J. T. Weed, A. H. Taenzer, K. J. Finkel, and B. D. Sites, “Evaluation of pre-procedure ultrasound examination as a screening tool for difficult spinal anaesthesia,” Anaesthesia, vol. 66, pp. 925–930, 2011. View at Publisher · View at Google Scholar
  27. C. Medd, R. Chandrashekar, and G. Simon, “Needle-through-Quincke needle technique for establishing spinal anaesthesia in the obese patient,” Anaesthesia, vol. 66, no. 5, pp. 400–401, 2011. View at Publisher · View at Google Scholar · View at Scopus