Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients

Seyfi KARTAL; Esra KONGUR

Makale detayları

Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients

Yazarlar:

Seyfi KARTAL | Esra KONGUR

Yayıncı:

Dicle University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Dicle Medical Journal 2020 Vol.47 Issue 2, pp.243-249

Belge Tipi:

Makale

Yayın Tarihi:

6/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000946510

Sıklık:

Üç Aylık

eISSN:

1308-9889

pISSN:

1300-2945

Anahtar kelimeler:

Özet:

 

Objective: Spinal anesthesia is frequently used in many surgical procedures. Although both median and paramedian approaches are used in spinal anesthesia, the conventional median approach is preferred. Reportedly, degenerative changes in elderly patients are less affected by the paramedian approach during spinal anesthesia. In this study, we aim to determine which of the two methods is superior in elderly patients.
Method: This study, patients were treated with the median approach or paramedian approach during spinal anesthesia after appropriate procedural preparation.
Results: Overall, 103 patients were included in the study. The success rate was 90.5% in the paramedian approach and 79.1% in the median approach. The duration of the procedure was shorter in the paramedian approach than in the median approach (14.4 ± 8.2 versus 28.4 ± 24.9, p = 0.004). During the procedure, the repetition from another interval was more in the median approach than in the statistically insignificant level due to the contact with the spinal bones and failure. The average age of the patients with the procedure duration was <30 s was higher than those with procedure duration ≥30 s.
Conclusions: In elderly patients, the success rate of the paramedian approach in the first attempt and repeated trials increased, the procedure time was shortened, and the surgery could be performed more comfortably without touching the spinal bones independent of the flexion position. Therefore, we believe that the paramedian approach is a faster, safer, and more successful method compared with the median approach in elderly patients.

Makale detayları

Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients

Yazarlar: Seyfi KARTAL | Esra KONGUR

Yayıncı: Dicle University

Ana Başlıklar: Sağlık teşvikleri

Dergi: Dicle Medical Journal 2020 Vol.47 Issue 2, pp.243-249

Belge Tipi: Makale

Yayın Tarihi: 6/2020

Belge Dili: İngilizce

Document ID (Org No.): 2000946510

Sıklık: Üç Aylık

eISSN: 1308-9889

pISSN: 1300-2945

Spinal anesthesia

median

paramedian

Sayı

Yazarlar:

Seyfi KARTAL | Esra KONGUR

Yayıncı:

Dicle University

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Dicle Medical Journal 2020 Vol.47 Issue 2, pp.243-249

Belge Tipi:

Makale

Yayın Tarihi:

6/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000946510

Sıklık:

Üç Aylık

eISSN:

1308-9889

pISSN:

1300-2945