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Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

December 10, 2023/2,610 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Vol 4 | Issue 2 | July-December 2023 | Page 9-13 | Tamasi Dawn, Yatindra Kumar Batra, Sunny Rupal, Komal Jit Kaur, Tanvir Samra DOI: https://doi.org/10.13107/ijra.2023.v04i02.076 Submitted: 10-08-2023; Reviewed: 06-09-2023; Accepted: 24-10-2023; Published: 10-12-2023 Authors: Tamasi Dawn [1], Yatindra Kumar Batra [1], Sunny Rupal [1], Komal Jit Kaur [1], Tanvir Samra [2] [1] Department of […]

Thoracic Wall Blocks for Thoracic Surgery

December 10, 2023/1,241 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Vol 4 | Issue 2 | July-December 2023 | Page 01-08 | Neha Pangasa, Anjolie Chhabra DOI: https://doi.org/10.13107/ijra.2023.v04i02.075 Submitted: 08-07-2023; Reviewed: 01-09-2023; Accepted: 09-10-2023; Published: 10-12-2023 Authors: Neha Pangasa [1], Anjolie Chhabra [1] [1] Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India. Address of Correspondence Dr. […]

Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

December 10, 2023/2,610 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Thoracic Wall Blocks for Thoracic Surgery

December 10, 2023/1,241 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Full Sized Blog Element (Big Preview Pic)

Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

December 10, 2023/2,610 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Vol 4 | Issue 2 | July-December 2023 | Page 9-13 | Tamasi Dawn, Yatindra Kumar Batra, Sunny Rupal, Komal Jit Kaur, Tanvir Samra

DOI: https://doi.org/10.13107/ijra.2023.v04i02.076

Submitted: 10-08-2023; Reviewed: 06-09-2023; Accepted: 24-10-2023; Published: 10-12-2023

Authors: Tamasi Dawn [1], Yatindra Kumar Batra [1], Sunny Rupal [1], Komal Jit Kaur [1], Tanvir Samra [2]

[1] Department of Anaethesiology Max superspeciality Hospital, Mohali, Punjab, India.
[2] Department of Anaesthesia PGIMER, Chandigarh, India.

Address of Correspondence
Dr. Tanvir Samra,
Associate Professor Department of Anaesthesia PGIMER, Chandigarh, India.
E-mail: drtanvirsamra@yahoo.co.in

Abstract

Background- The ability of the pendant position in increasing the intervertebral spaces translating in an increase in the 1st attempt spinal puncture success rate has been reported in pregnant females undergoing cesarean section. However, the same has not been done for the elderly patients in which age-related degenerative anatomical changes, decreased lordosis, disseminated sclerosis, and extensive osteophytosis is known to reduce the intervertebral space.
Materials and Methods- A prospective randomized controlled study was conducted in patients aged 60-80 years undergoing urological surgeries after approvalfrom the Institutional Ethics Committee and written informed consent from the patients. Primary aim was to compare the number of bone contacts during administration of subarachnoid block with the patient in either pendant (Group A) or traditional (Group B) position. Secondary aims were to compare the proportion of successful spinal needle placements, ease of palpation of spinous processes, patient’s comfort, number of spaces used, time to perform spinal puncture, time to reach grade III (as per modified bromage score) motor blockade, time to reach T10 sensory level and rate of complications in both the groups.
Results- Demographic data was comparable and there was no statistical difference in number of bone contacts, ease of administration, success of spinal needle placements, performance times of subarachnoid block and duration of spinal anaesthesia in both the groups. Complication rates were comparable.
Conclusion- Pendant positioning does not confer any advantage over the traditional sitting position in success rates and performance characteristics of subarachnoid block in elderly (60-80 years) patients scheduled for urological surgeries.
Keywords: Pendant position, Spinal-bone contact, Spinal Needle Puncture, Lumbar puncture, Spinal anesthesia, Aged

References

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How to Cite this Article: Dawn T, Batra YK, Rupal S, Kaur KJ, Samra T | Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly | International Journal of Regional Anaesthesia | July- December 2023; 4(2): 9-13 | DOI: https://doi.org/10.13107/ijra.2023.v04i02.076

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Thoracic Wall Blocks for Thoracic Surgery

December 10, 2023/1,241 Comments/in Volume 4; Issue 2: July-December 2023/by Ijraijraadmin

Vol 4 | Issue 2 | July-December 2023 | Page 01-08 | Neha Pangasa, Anjolie Chhabra

DOI: https://doi.org/10.13107/ijra.2023.v04i02.075

Submitted: 08-07-2023; Reviewed: 01-09-2023; Accepted: 09-10-2023; Published: 10-12-2023

Authors: Neha Pangasa [1], Anjolie Chhabra [1]

[1] Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

Address of Correspondence
Dr. Neha Pangasa
Assistant Professor, Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Email- nehapangasa@gmail.com

Abstract

Thoracic epidural, paravertebral block and intercostal nerve block were the conventional methods of providing analgesia for thoracic surgery, about a decade ago. In the modern era with the advent of ultrasound guided regional anesthesia, the fascial plane blocks came as a boon to anesthesiologists. These blocks are safer, as the needle tip remains distant from the pleura and they are technically easier to perform. We have described in brief the various techniques for thoracic wall analgesia with special emphasis to fascial plane blocks, along with the current evidence for each block.
Keywords: Thoracic wall blocks, Fascial plane blocks, Local anaesthetic

References

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How to Cite this Article: Pangasa N, Chhabra A | Thoracic Wall Blocks for Thoracic Surgery | International Journal of Regional Anaesthesia | July-December 2023; 4(2): 01-08 | DOI: https://doi.org/10.13107/ijra.2023.v04i02.075

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Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

Thoracic Wall Blocks for Thoracic Surgery

Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

Thoracic Wall Blocks for Thoracic Surgery

Full Sized Blog Element (Big Preview Pic)

Pendant Positioning Vs Traditional Sitting for Successful Spinal Punctures in Elderly

Authors: Tamasi Dawn [1], Yatindra Kumar Batra [1], Sunny Rupal [1], Komal Jit Kaur [1], Tanvir Samra [2]

(Abstract Text HTML) (Download PDF)

Thoracic Wall Blocks for Thoracic Surgery

Authors: Neha Pangasa [1], Anjolie Chhabra [1]

(Abstract Text HTML) (Download PDF)

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