COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY
Objective: To compare the technique of paramedian with midline approach of subarachnoid block in terms of number of attempts and frequency of success rate in elderly patients undergoing elective lower body surgeries. Study Design: Randomized controlled trial. Place and Duration of Study: This stu...
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Army Medical College Rawalpindi
2018
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oai:doaj.org-article:f4f28be0aae94ffbb78c7bc9b56521282021-12-02T03:00:23ZCOMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY0030-96482411-8842https://doaj.org/article/f4f28be0aae94ffbb78c7bc9b56521282018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2284/1981https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the technique of paramedian with midline approach of subarachnoid block in terms of number of attempts and frequency of success rate in elderly patients undergoing elective lower body surgeries. Study Design: Randomized controlled trial. Place and Duration of Study: This study was carried out at Anaesthesia department of Combined Military Hospital Lahore. Six months from Jan 2014 to Jun 2014. Material and Methods: One hundred and seventy elderly patients were scheduled for lower body surgery, using spinal anaesthesia. They were randomized to either Midline approach (n=85) or Paramedian approach (n=85) by lottery method. The outcome measures number of attempts and success rate were noted in both groups and analyzed using SPSS version 18. Results: The successful block in first attempt was 95.3% in Paramedian group and 58.8% in Midline group. Mean number of attempts in paramedian group was 1.24 ± 0.52 as compared to 1.95 ± 0.97 in midline group. A p-value <0.05 was taken significant. Conclusion: The Paramedian technique was found associated with higher success rate, lesser possibility of repeated number of attempts in elderly patients as compared to Midline approach.Farrukh ShehzadSM Zaheer HaiderBushra ZafarHamza MalikMuhammad Adil JahangirSaqib KirwanArmy Medical College Rawalpindiarticleelderlylumbar puncturemidline approachnumber of attemptsparamedian approachspinalanaesthesiaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1168-1172 (2018) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
elderly lumbar puncture midline approach number of attempts paramedian approach spinal anaesthesia Medicine R Medicine (General) R5-920 |
| spellingShingle |
elderly lumbar puncture midline approach number of attempts paramedian approach spinal anaesthesia Medicine R Medicine (General) R5-920 Farrukh Shehzad SM Zaheer Haider Bushra Zafar Hamza Malik Muhammad Adil Jahangir Saqib Kirwan COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| description |
Objective: To compare the technique of paramedian with midline approach of subarachnoid block in terms of
number of attempts and frequency of success rate in elderly patients undergoing elective lower body surgeries.
Study Design: Randomized controlled trial.
Place and Duration of Study: This study was carried out at Anaesthesia department of Combined Military
Hospital Lahore. Six months from Jan 2014 to Jun 2014.
Material and Methods: One hundred and seventy elderly patients were scheduled for lower body surgery, using
spinal anaesthesia. They were randomized to either Midline approach (n=85) or Paramedian approach (n=85) by
lottery method. The outcome measures number of attempts and success rate were noted in both groups and
analyzed using SPSS version 18.
Results: The successful block in first attempt was 95.3% in Paramedian group and 58.8% in Midline group. Mean
number of attempts in paramedian group was 1.24 ± 0.52 as compared to 1.95 ± 0.97 in midline group. A p-value
<0.05 was taken significant.
Conclusion: The Paramedian technique was found associated with higher success rate, lesser possibility of
repeated number of attempts in elderly patients as compared to Midline approach. |
| format |
article |
| author |
Farrukh Shehzad SM Zaheer Haider Bushra Zafar Hamza Malik Muhammad Adil Jahangir Saqib Kirwan |
| author_facet |
Farrukh Shehzad SM Zaheer Haider Bushra Zafar Hamza Malik Muhammad Adil Jahangir Saqib Kirwan |
| author_sort |
Farrukh Shehzad |
| title |
COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| title_short |
COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| title_full |
COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| title_fullStr |
COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| title_full_unstemmed |
COMPARISON OF PARAMEDIAN WITH MIDLINE TECHNIQUE OF SPINAL ANAESTHESIA IN ELDERLY |
| title_sort |
comparison of paramedian with midline technique of spinal anaesthesia in elderly |
| publisher |
Army Medical College Rawalpindi |
| publishDate |
2018 |
| url |
https://doaj.org/article/f4f28be0aae94ffbb78c7bc9b5652128 |
| work_keys_str_mv |
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| _version_ |
1718402016973160448 |