Real-time ultrasound-guided spinal anesthesia in patients with a challenging spinal anatomy: two case reports.
Acta Anaesthesiol Scand
; 54(2): 252-5, 2010 Feb.
Article
en En
| MEDLINE
| ID: mdl-19839951
ABSTRACT
Spinal anesthesia may be challenging in patients with poorly palpable surface landmarks or abnormal spinal anatomy. Pre-procedural ultrasound imaging of the lumbar spine can help by providing additional anatomical information, thus permitting a more accurate estimation of the appropriate needle insertion site and trajectory. However, actual needle insertion in the pre-puncture ultrasound-assisted technique remains a 'blind' procedure. We describe two patients with an abnormal spinal anatomy in whom ultrasound-assisted spinal anesthesia was unsuccessful. Successful dural puncture was subsequently achieved using a technique of real-time ultrasound-guided spinal anesthesia. This may be a useful option in patients in whom landmark-guided and ultrasound-assisted techniques have failed.
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1
Base de datos:
MEDLINE
Asunto principal:
Ultrasonografía Intervencional
/
Anestesia Raquidea
/
Vértebras Lumbares
Idioma:
En
Revista:
Acta Anaesthesiol Scand
Año:
2010
Tipo del documento:
Article