ΠΜΣ Καρδιοαναπνευστική Αναζωογόνηση
Library of the School of Health Sciences

2019-06-11

2019

Chazapi Aikaterini

Κουσκούνη Ευαγγελία, Αναπληρώτρια Καθηγήτρια, Ιατρική, ΕΚΠΑ
Τσαρουχά Αθανασία, Επίκουρη Καθηγήτρια, Ιατρική, ΕΚΠΑ
Χαλκιάς Αθανάσιος, Επίκουρος Καθηγητής, Ιατρική, ΕΚΠΑ

Προγνωστικοί παράγοντες για δύσκολη περιοχική αναισθησία

Greek

Prognostic factors for difficult regional anaesthesia

Introduction
Multiple attempts and difficult access to the epidural or subarachnoid space is a frequent problem in operating theaters and may be hazardous due to a number of possible acute or long-term complications. In addition, multiple punctures are associated with increased pain and patient discomfort. The aim of this study was to determine the factors associated with difficult regional anesthesia.
Materials & Methods
The study included 60 patients who underwent regional anesthesia. Patient-related data such as age, gender, height, weight, body mass index, spine deformities, and quality of anatomical landmarks were recorded. Needle gauge and block approach were also recorded. The difficulty of the regional anesthesia was defined by first-puncture success and the number of needle redirections.
Results
There were 51 cases of first puncture success, while the overall success of neuraxial blocks was 100%. It was found that first puncture success was associated with the existence of scoliosis (p = 0.031). Paramedian approach was associated with more than 2 needle redirections (p = 0.046). Age, gender, body mass index, palpability of spinous processes, needle type and gauge were not considered to influence the difficulty of the regional anesthesia (p > 0.05)
Conclusions
Sufficient preoperative prediction of dif¬ficulties in regional anesthesia may help to decrease the rate of multiple attempts, rendering the technique more acceptable and less dangerous to the patient, and subsequently leading to improvement of medical care quality. The attending anesthesiologist should consider an alternative technique (general anesthesia or peripheral nerve block) for a patient if certain difficulties can be predicted.

Health Sciences

Regional, Anaesthesia, Difficult

Yes

5

Yes

65

103

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https://pergamos.lib.uoa.gr/uoa/dl/object/2875839