The distance from the skin to the subarachnoid space can be predicted in premature and formerpremature infants
PurposeSpinal anesthesia can be technically challenging in young infants. We studied whether the distance between the skin and the lumbar subarachnoid space in premature and former-premature young infants could be predicted prior to lumbar puncture.MethodsThe distance from skin entry point to tip of...
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Veröffentlicht in: | Canadian journal of anesthesia 2004-02, Vol.51 (2), p.160-162 |
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creator | Shenkman, Ze’ev Rathaus, Valeria Jedeikin, Robert Konen, Osnat Hoppenstein, David Snyder, Mitchell Freud, Enrique |
description | PurposeSpinal anesthesia can be technically challenging in young infants. We studied whether the distance between the skin and the lumbar subarachnoid space in premature and former-premature young infants could be predicted prior to lumbar puncture.MethodsThe distance from skin entry point to tip of the spinal needle was measured using a caliper after lumbar spinal anesthesia at the L4–5 interspace. This distance was correlated to the patient’s weight, postconceptual age and lumbar ultrasonographic measurement of the skin-to-subarachnoid space and predictive statistical models were sought.ResultsThirty-five premature or former-premature infants were studied. Three models were examined: all three independent variables, weight and postconceptual age only, and weight only. The model selected contained the weight and postconceptual age, because it had the highest value for adjusted R squared, as well as the lowest value for the mean squared error. Adding the ultrasonic measurement to the model worsened the results. The statistical model that described the depth of the subarachnoid space at the L4–5 level was Y = 13.19 + 0.0026 × W −0.12 × PCA, where Y is the distance (mm) from the skin to the subarachnoid space, W is the patient’s weight (g) and PCA is the postconceptual age (weeks). Adjusted R squared was 0.72, mean square error was 2.63 and P< 10−9.ConclusionThe distance between the skin and the subarachnoid space at the level of L4–5 interspace can be predicted using a statistical model based on the infant’s weight and postconceptual age. Spinal ultrasound has no value in L4–5 subarachnoid space depth prediction. |
doi_str_mv | 10.1007/BF03018776 |
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We studied whether the distance between the skin and the lumbar subarachnoid space in premature and former-premature young infants could be predicted prior to lumbar puncture.MethodsThe distance from skin entry point to tip of the spinal needle was measured using a caliper after lumbar spinal anesthesia at the L4–5 interspace. This distance was correlated to the patient’s weight, postconceptual age and lumbar ultrasonographic measurement of the skin-to-subarachnoid space and predictive statistical models were sought.ResultsThirty-five premature or former-premature infants were studied. Three models were examined: all three independent variables, weight and postconceptual age only, and weight only. The model selected contained the weight and postconceptual age, because it had the highest value for adjusted R squared, as well as the lowest value for the mean squared error. Adding the ultrasonic measurement to the model worsened the results. The statistical model that described the depth of the subarachnoid space at the L4–5 level was Y = 13.19 + 0.0026 × W −0.12 × PCA, where Y is the distance (mm) from the skin to the subarachnoid space, W is the patient’s weight (g) and PCA is the postconceptual age (weeks). Adjusted R squared was 0.72, mean square error was 2.63 and P< 10−9.ConclusionThe distance between the skin and the subarachnoid space at the level of L4–5 interspace can be predicted using a statistical model based on the infant’s weight and postconceptual age. Spinal ultrasound has no value in L4–5 subarachnoid space depth prediction.</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/BF03018776</identifier><language>eng</language><publisher>Toronto: Springer Nature B.V</publisher><subject>Mean square errors ; Studies</subject><ispartof>Canadian journal of anesthesia, 2004-02, Vol.51 (2), p.160-162</ispartof><rights>Canadian Anesthesiologists 2004.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2076-490020f2899071a3812b790b02a674098fdda27a11d53c0acc9b4d2d0150a3a13</citedby><cites>FETCH-LOGICAL-c2076-490020f2899071a3812b790b02a674098fdda27a11d53c0acc9b4d2d0150a3a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids></links><search><creatorcontrib>Shenkman, Ze’ev</creatorcontrib><creatorcontrib>Rathaus, Valeria</creatorcontrib><creatorcontrib>Jedeikin, Robert</creatorcontrib><creatorcontrib>Konen, Osnat</creatorcontrib><creatorcontrib>Hoppenstein, David</creatorcontrib><creatorcontrib>Snyder, Mitchell</creatorcontrib><creatorcontrib>Freud, Enrique</creatorcontrib><title>The distance from the skin to the subarachnoid space can be predicted in premature and formerpremature infants</title><title>Canadian journal of anesthesia</title><description>PurposeSpinal anesthesia can be technically challenging in young infants. We studied whether the distance between the skin and the lumbar subarachnoid space in premature and former-premature young infants could be predicted prior to lumbar puncture.MethodsThe distance from skin entry point to tip of the spinal needle was measured using a caliper after lumbar spinal anesthesia at the L4–5 interspace. This distance was correlated to the patient’s weight, postconceptual age and lumbar ultrasonographic measurement of the skin-to-subarachnoid space and predictive statistical models were sought.ResultsThirty-five premature or former-premature infants were studied. Three models were examined: all three independent variables, weight and postconceptual age only, and weight only. The model selected contained the weight and postconceptual age, because it had the highest value for adjusted R squared, as well as the lowest value for the mean squared error. Adding the ultrasonic measurement to the model worsened the results. The statistical model that described the depth of the subarachnoid space at the L4–5 level was Y = 13.19 + 0.0026 × W −0.12 × PCA, where Y is the distance (mm) from the skin to the subarachnoid space, W is the patient’s weight (g) and PCA is the postconceptual age (weeks). Adjusted R squared was 0.72, mean square error was 2.63 and P< 10−9.ConclusionThe distance between the skin and the subarachnoid space at the level of L4–5 interspace can be predicted using a statistical model based on the infant’s weight and postconceptual age. Spinal ultrasound has no value in L4–5 subarachnoid space depth prediction.</description><subject>Mean square errors</subject><subject>Studies</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpFkE9LxDAUxIMouK5e_ATBo1B9SdomOeriqrDgZQVv5TV_2K42rUl68NtbWWFPb97wYwaGkGsGdwxA3j-uQQBTUtYnZMFKXRdKy-qULEAJXtQMPs7JRUp7AFB1pRYkbHeO2i5lDMZRH4ee5tlJn12geTjoqcWIZheGztI04swZDLR1dIzOdiY7S2d6fnrMU3QUg6V-iL2LR68LHkNOl-TM41dyV_93Sd7XT9vVS7F5e35dPWwKw0HWRakBOHiutAbJUCjGW6mhBY61LEErby1yiYzZShhAY3RbWm6BVYACmViSm0PuGIfvyaXc7IcphrmyUYoJyTnjM3R7gEwcUorON2Pseow_DYPmb87mOKf4BVU6Zyw</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>Shenkman, Ze’ev</creator><creator>Rathaus, Valeria</creator><creator>Jedeikin, Robert</creator><creator>Konen, Osnat</creator><creator>Hoppenstein, David</creator><creator>Snyder, Mitchell</creator><creator>Freud, Enrique</creator><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20040201</creationdate><title>The distance from the skin to the subarachnoid space can be predicted in premature and formerpremature infants</title><author>Shenkman, Ze’ev ; Rathaus, Valeria ; Jedeikin, Robert ; Konen, Osnat ; Hoppenstein, David ; Snyder, Mitchell ; Freud, Enrique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2076-490020f2899071a3812b790b02a674098fdda27a11d53c0acc9b4d2d0150a3a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Mean square errors</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shenkman, Ze’ev</creatorcontrib><creatorcontrib>Rathaus, Valeria</creatorcontrib><creatorcontrib>Jedeikin, Robert</creatorcontrib><creatorcontrib>Konen, Osnat</creatorcontrib><creatorcontrib>Hoppenstein, David</creatorcontrib><creatorcontrib>Snyder, Mitchell</creatorcontrib><creatorcontrib>Freud, Enrique</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shenkman, Ze’ev</au><au>Rathaus, Valeria</au><au>Jedeikin, Robert</au><au>Konen, Osnat</au><au>Hoppenstein, David</au><au>Snyder, Mitchell</au><au>Freud, Enrique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The distance from the skin to the subarachnoid space can be predicted in premature and formerpremature infants</atitle><jtitle>Canadian journal of anesthesia</jtitle><date>2004-02-01</date><risdate>2004</risdate><volume>51</volume><issue>2</issue><spage>160</spage><epage>162</epage><pages>160-162</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><abstract>PurposeSpinal anesthesia can be technically challenging in young infants. We studied whether the distance between the skin and the lumbar subarachnoid space in premature and former-premature young infants could be predicted prior to lumbar puncture.MethodsThe distance from skin entry point to tip of the spinal needle was measured using a caliper after lumbar spinal anesthesia at the L4–5 interspace. This distance was correlated to the patient’s weight, postconceptual age and lumbar ultrasonographic measurement of the skin-to-subarachnoid space and predictive statistical models were sought.ResultsThirty-five premature or former-premature infants were studied. Three models were examined: all three independent variables, weight and postconceptual age only, and weight only. The model selected contained the weight and postconceptual age, because it had the highest value for adjusted R squared, as well as the lowest value for the mean squared error. Adding the ultrasonic measurement to the model worsened the results. The statistical model that described the depth of the subarachnoid space at the L4–5 level was Y = 13.19 + 0.0026 × W −0.12 × PCA, where Y is the distance (mm) from the skin to the subarachnoid space, W is the patient’s weight (g) and PCA is the postconceptual age (weeks). Adjusted R squared was 0.72, mean square error was 2.63 and P< 10−9.ConclusionThe distance between the skin and the subarachnoid space at the level of L4–5 interspace can be predicted using a statistical model based on the infant’s weight and postconceptual age. Spinal ultrasound has no value in L4–5 subarachnoid space depth prediction.</abstract><cop>Toronto</cop><pub>Springer Nature B.V</pub><doi>10.1007/BF03018776</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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title | The distance from the skin to the subarachnoid space can be predicted in premature and formerpremature infants |
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