Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia

Background and Aims: Preprocedural lumbar ultrasound (US) is employed for the estimation of epidural depth (ED). This study observed the correlation of preprocedural ED in transverse median (TM), parasagittal oblique (PSO) view, and body mass index (BMI) with procedural ED. Methods: In a prospective...

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Autores principales:	Harshvardhan Awasthi, Versha Verma, Usha Chaudhary, Shelly Rana, Jai Singh, Chander Mohan Negi
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	analgesia epidural point-of-care ultrasonography Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/68488fce6be44741a66c43e1f9934d53
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spelling	oai:doaj.org-article:68488fce6be44741a66c43e1f9934d532021-11-12T10:10:47ZCorrelation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia0019-50490976-281710.4103/ija.ija_276_21https://doaj.org/article/68488fce6be44741a66c43e1f9934d532021-01-01T00:00:00Zhttp://www.ijaweb.org/article.asp?issn=0019-5049;year=2021;volume=65;issue=10;spage=750;epage=754;aulast=Awasthihttps://doaj.org/toc/0019-5049https://doaj.org/toc/0976-2817Background and Aims: Preprocedural lumbar ultrasound (US) is employed for the estimation of epidural depth (ED). This study observed the correlation of preprocedural ED in transverse median (TM), parasagittal oblique (PSO) view, and body mass index (BMI) with procedural ED. Methods: In a prospective study, 100 female patients, aged 40–65 years, with American Society of Anesthesiologists physical status I/II, BMI 18.5–30 kg m−2 scheduled for surgeries under lumbar epidural blocks were included. In the TM group, preprocedural ultrasonography (USG) was performed in TM view and ED was calculated, whereas in the PSO group, the paramedian sagittal view was used and corresponding markings were done for epidural needle insertion in the midline and paramedian planes, respectively. The primary outcome was the correlation of procedural ED and preprocedural ED in TM and PSO views, respectively. The secondary outcomes included correlation of procedural ED with BMI, comparability of preprocedural, and procedural ED in TM and PSO views. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) v19.0 (International Business Machines, USA). Results: The preprocedural and procedural ED was less in the TM group (4.43 ± 0.75 and 4.44 ± 0.75 cm) in comparison to those in the PSO group (4.86 ± 0.53, 4.90 ± 0.54; P = 0.001). Strong correlation was observed in preprocedural and procedural ED [r2 = 0.996 and 0.995]. The procedural ED had strong correlation with BMI [r2 = 0.600, P = 0.001] in the TM group, and weak correlation [r2 = 0.367] in the PSO group [P = 0.01]. The procedural ED was comparable to preprocedural ED in TM and PSO groups. Conclusion: Preprocedural US scanning provides an accurate estimate of actual EDs in TM and PSO view.Harshvardhan AwasthiVersha VermaUsha ChaudharyShelly RanaJai SinghChander Mohan NegiWolters Kluwer Medknow Publicationsarticleanalgesiaepiduralpoint-of-careultrasonographyAnesthesiologyRD78.3-87.3ENIndian Journal of Anaesthesia, Vol 65, Iss 10, Pp 750-754 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	analgesia epidural point-of-care ultrasonography Anesthesiology RD78.3-87.3
spellingShingle	analgesia epidural point-of-care ultrasonography Anesthesiology RD78.3-87.3 Harshvardhan Awasthi Versha Verma Usha Chaudhary Shelly Rana Jai Singh Chander Mohan Negi Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
description	Background and Aims: Preprocedural lumbar ultrasound (US) is employed for the estimation of epidural depth (ED). This study observed the correlation of preprocedural ED in transverse median (TM), parasagittal oblique (PSO) view, and body mass index (BMI) with procedural ED. Methods: In a prospective study, 100 female patients, aged 40–65 years, with American Society of Anesthesiologists physical status I/II, BMI 18.5–30 kg m−2 scheduled for surgeries under lumbar epidural blocks were included. In the TM group, preprocedural ultrasonography (USG) was performed in TM view and ED was calculated, whereas in the PSO group, the paramedian sagittal view was used and corresponding markings were done for epidural needle insertion in the midline and paramedian planes, respectively. The primary outcome was the correlation of procedural ED and preprocedural ED in TM and PSO views, respectively. The secondary outcomes included correlation of procedural ED with BMI, comparability of preprocedural, and procedural ED in TM and PSO views. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) v19.0 (International Business Machines, USA). Results: The preprocedural and procedural ED was less in the TM group (4.43 ± 0.75 and 4.44 ± 0.75 cm) in comparison to those in the PSO group (4.86 ± 0.53, 4.90 ± 0.54; P = 0.001). Strong correlation was observed in preprocedural and procedural ED [r2 = 0.996 and 0.995]. The procedural ED had strong correlation with BMI [r2 = 0.600, P = 0.001] in the TM group, and weak correlation [r2 = 0.367] in the PSO group [P = 0.01]. The procedural ED was comparable to preprocedural ED in TM and PSO groups. Conclusion: Preprocedural US scanning provides an accurate estimate of actual EDs in TM and PSO view.
format	article
author	Harshvardhan Awasthi Versha Verma Usha Chaudhary Shelly Rana Jai Singh Chander Mohan Negi
author_facet	Harshvardhan Awasthi Versha Verma Usha Chaudhary Shelly Rana Jai Singh Chander Mohan Negi
author_sort	Harshvardhan Awasthi
title	Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
title_short	Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
title_full	Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
title_fullStr	Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
title_full_unstemmed	Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
title_sort	correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/68488fce6be44741a66c43e1f9934d53
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Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia

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