Hip/Shoulder Width Ratio Alters the Spread of Spinal Anesthesia: A Prospective Observational Study

Mehmet Canturk; Meltem Hakki; Nazan Kocaoglu

doi:10.5455/umj.20180215094944

Hip/Shoulder Width Ratio Alters the Spread of Spinal Anesthesia: A Prospective Observational Study

Yıl 2018, Cilt: 4 Sayı: 1, 32 - 37, 01.01.2018

Mehmet Canturk Meltem Hakki Nazan Kocaoglu

https://doi.org/10.5455/umj.20180215094944

Öz

Introduction: Many factors have been tested to predict the spread of spinal anesthesia in clinical practice. In the study, we aimed to investigate the correlation between hip/shoulder width ratio and spread of spinal anesthesia. Method: Sixty patients were enrolled in this study to determine the correlation between hip/shoulder width ratio and the spread of spinal anesthesia. The L4-L5 interspace, navigated by ultrasonography, was introduced at the lateral position with a 25G spinal needle. 3ml 0,5% hyperbaric bupivacaine was injected intrathecally in 15 seconds. Age, height, weight, body mass index, hip/shoulder width ratio, and vertebral column length were recorded. Spinal anesthesia spread was assessed at 0, 5, 10, 20, and 30 minutes after spinal anesthesia. The patient was turned supine 5 minutes after intrathecal injection. Multiple linear regression analysis was used to analyze the correlation between the spread of spinal anesthesia and age, height, weight, hip/shoulder width ratio, vertebral column length. Results: The study was completed without dropout and sixty participants were included in the analysis. There was a strong correlation between the spread of spinal anesthesia and hip/shoulder width ratio r=0,766; p

Anahtar Kelimeler

Spinal anesthesia, hyperbaric bupivacaine, hip/shoulder ratio.

Kaynakça

1. Hocking G, Wildsmith JA. Intrathecal drug spread. British journal of anaesthesia. 2004;93(4):568-78. Epub 2004/06/29.
2. Pargger H, Hampl KF, Aeschbach A, Paganoni R, Schneider MC. Combined effect of patient variables on sensory level after spinal 0.5% plain bupivacaine. Acta anaesthesiologica Scandinavica. 1998;42(4):430-4. Epub 1998/05/01.
3. Logan MR, McClure JH, Wildsmith JA. Plain bupivacaine: an unpredictable spinal anaesthetic agent. British journal of anaesthesia. 1986;58(3):292-6. Epub 1986/03/01.
4. Greene NM. Distribution of local anesthetic solutions within the subarachnoid space. Anesthesia and analgesia. 1985;64 (7):715-30. Epub 1985/07/01.
5. Wei CN, Zhou QH, Wang LZ. Abdominal girth and vertebral column length aid in predicting intrathecal hyperbaric bupivacaine dose for elective cesarean section. Medicine. 2017;96(34):e7905. Epub 2017/08/24.
6. Wei CN, Zhang YF, Xia F, Wang LZ, Zhou QH. Abdominal girth, vertebral column length and spread of intrathecal hyperbaric bupivacaine in the term parturient. International journal of obstetric anesthesia. 2017;31:63-7. Epub 2017/04/06.
7. Zhou QH, Zhu B, Wei CN, Yan M. Abdominal girth and vertebral column length can adjust spinal anesthesia for lower limb surgery, a prospective, observational study. BMC anesthesiology. 2016;16:22. Epub 2016/03/25.
8. Kuok CH, Huang CH, Tsai PS, Ko YP, Lee WS, Hsu YW, et al. Preoperative measurement of maternal abdominal circumference relates the initial sensory block level of spinal anesthesia for cesarean section: An observational study. Taiwanese journal of obstetrics & gynecology. 2016;55(6): 810-4. Epub 2017/01/04.
9. Zhou QH, Xiao WP, Shen YY. Abdominal girth, vertebral column length, and spread of spinal anesthesia in 30 minutes after plain bupivacaine 5 mg/mL. Anesthesia and analgesia. 2014;119(1):203-6. Epub 2014/05/09.
10. Cantürk M, Cantürk FK, Dağlı R, Dağlı SS. The spread of spinal anesthesia in term parturient: effect of hip/shoulder width ratio and vertebral column length. International Journal of Clinical and Experimental Medicine. 2016;9(11): 21562-7.
11. Barker AE. A Report On Clinical Experiences With Spinal Analgesia In 100 Cases, And Some Reflections On The Procedure. British medical journal. 1907;1(2412):665-74. Epub 1907/03/23.
12. Kitahara T, Kuri S, Yoshida J. The spread of drugs used for spinal anesthesia. Anesthesiology. 1956;17(1):205-8. Epub 1956/01/01.
13. Hartwell BL, Aglio LS, Hauch MA, Datta S. Vertebral column length and spread of hyperbaric subarachnoid bupivacaine in the term parturient. Regional anesthesia. 1991;16(1):17-9. Epub 1991/01/01.
14. Pitkanen MT. Body mass and spread of spinal anesthesia with bupivacaine. Anesthesia and analgesia. 1987;66(2):127- 31. Epub 1987/02/01.
15. Norris MC. Height, weight, and the spread of subarachnoid hyperbaric bupivacaine in the term parturient. Anesthesia and analgesia. 1988;67(6):555-8. Epub 1988/06/01.

Yıl 2018, Cilt: 4 Sayı: 1, 32 - 37, 01.01.2018

Mehmet Canturk Meltem Hakki Nazan Kocaoglu

https://doi.org/10.5455/umj.20180215094944

Öz

Kaynakça

1. Hocking G, Wildsmith JA. Intrathecal drug spread. British journal of anaesthesia. 2004;93(4):568-78. Epub 2004/06/29.
2. Pargger H, Hampl KF, Aeschbach A, Paganoni R, Schneider MC. Combined effect of patient variables on sensory level after spinal 0.5% plain bupivacaine. Acta anaesthesiologica Scandinavica. 1998;42(4):430-4. Epub 1998/05/01.
3. Logan MR, McClure JH, Wildsmith JA. Plain bupivacaine: an unpredictable spinal anaesthetic agent. British journal of anaesthesia. 1986;58(3):292-6. Epub 1986/03/01.
4. Greene NM. Distribution of local anesthetic solutions within the subarachnoid space. Anesthesia and analgesia. 1985;64 (7):715-30. Epub 1985/07/01.
5. Wei CN, Zhou QH, Wang LZ. Abdominal girth and vertebral column length aid in predicting intrathecal hyperbaric bupivacaine dose for elective cesarean section. Medicine. 2017;96(34):e7905. Epub 2017/08/24.
6. Wei CN, Zhang YF, Xia F, Wang LZ, Zhou QH. Abdominal girth, vertebral column length and spread of intrathecal hyperbaric bupivacaine in the term parturient. International journal of obstetric anesthesia. 2017;31:63-7. Epub 2017/04/06.
7. Zhou QH, Zhu B, Wei CN, Yan M. Abdominal girth and vertebral column length can adjust spinal anesthesia for lower limb surgery, a prospective, observational study. BMC anesthesiology. 2016;16:22. Epub 2016/03/25.
8. Kuok CH, Huang CH, Tsai PS, Ko YP, Lee WS, Hsu YW, et al. Preoperative measurement of maternal abdominal circumference relates the initial sensory block level of spinal anesthesia for cesarean section: An observational study. Taiwanese journal of obstetrics & gynecology. 2016;55(6): 810-4. Epub 2017/01/04.
9. Zhou QH, Xiao WP, Shen YY. Abdominal girth, vertebral column length, and spread of spinal anesthesia in 30 minutes after plain bupivacaine 5 mg/mL. Anesthesia and analgesia. 2014;119(1):203-6. Epub 2014/05/09.
10. Cantürk M, Cantürk FK, Dağlı R, Dağlı SS. The spread of spinal anesthesia in term parturient: effect of hip/shoulder width ratio and vertebral column length. International Journal of Clinical and Experimental Medicine. 2016;9(11): 21562-7.
11. Barker AE. A Report On Clinical Experiences With Spinal Analgesia In 100 Cases, And Some Reflections On The Procedure. British medical journal. 1907;1(2412):665-74. Epub 1907/03/23.
12. Kitahara T, Kuri S, Yoshida J. The spread of drugs used for spinal anesthesia. Anesthesiology. 1956;17(1):205-8. Epub 1956/01/01.
13. Hartwell BL, Aglio LS, Hauch MA, Datta S. Vertebral column length and spread of hyperbaric subarachnoid bupivacaine in the term parturient. Regional anesthesia. 1991;16(1):17-9. Epub 1991/01/01.
14. Pitkanen MT. Body mass and spread of spinal anesthesia with bupivacaine. Anesthesia and analgesia. 1987;66(2):127- 31. Epub 1987/02/01.
15. Norris MC. Height, weight, and the spread of subarachnoid hyperbaric bupivacaine in the term parturient. Anesthesia and analgesia. 1988;67(6):555-8. Epub 1988/06/01.

Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Bölüm	Research Article
Yazarlar	Mehmet Canturk Meltem Hakki Bu kişi benim Nazan Kocaoglu Bu kişi benim
Yayımlanma Tarihi	1 Ocak 2018
Yayımlandığı Sayı	Yıl 2018 Cilt: 4 Sayı: 1

Kaynak Göster

Vancouver	Canturk M, Hakki M, Kocaoglu N. Hip/Shoulder Width Ratio Alters the Spread of Spinal Anesthesia: A Prospective Observational Study. ULUTAS MED J. 2018;4(1):32-7.