A Comparative Study on Preprocedure Ultrasound-Guided Midline Spinal Anaesthesia and Conventional Landmarks Technique | Chapter 13 | Research Developments in Medicine and Medical Science Vol. 1

 This study is proposed to effectively and correctly identify the physical landmarks of neuraxial blockade, so that improve the productiveness and safety of sleep-inducing or numbing drug anaesthesia. Furthermore, we proposed to familiarize the anaesthesiologist accompanying the process of using ultrasound to get successful neuraxial anaesthesia and induced sleep, Moreover, to minimize the complexities and to overcome any expected and unanticipated trouble. Ultrasound (US) can be secondhand effectively and correctly to identify the anatomical milestones of neuraxial blockade, in consideration of improve the security and efficacy of sleep-inducing or numbing drug anaesthesia.The study was acted in Zagazig University Hospital. Hundred and four ASA classes I and II adult cooperative sufferers of both sexes were due for surgery in the lower part of the frame under neuraxial blockade.It was found that there was a statistically important difference 'tween the PS and CL groups in terms of the number of attempts, the number of tease passes (bone striking), the success rate of the first attempt at a dural puncture, and the overall time necessary to conduct the method.Ultrasound counseling enhances the benefit rate of midline spinal induced sleep. It decreases the number of attempts needed, increases the accomplishment rate of a single annoy pass, and shortens the time to dural puncture. More research is wanted to determine the duty of ultrasound-guided neuraxial block in extreme-risk populations in the way that the obese, aging, and patients with sleep-inducer deformity. Thereby, we hope that we can include ultrasound into everyday practice alternatively performing separate ultrasound examinations.

Author(s) Details:

Mohamed Anwer Rifky,
Anaesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt.

Mohamed Mowafy Khattab,
Anaesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt.

Ayman Fathy Zeid,
Radiodiagnosis, Faculty of Medicine, Zagazig University, Egypt.

Ahmed Sobhy Hegab,
Anaesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt.               

Basmah Ahmed Abdelrahman Alrobaa,
Anaesthesia and Surgical Intensive Care, Faculty of Medicine, Zagazig University, Egypt.

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