Higher Operating Table for Optimal Needle-Entry Angle and Less Discomfort During Spinal Anesthesia

The aim of this study was to find the optimal table height to facilitate insertion of the spinal needle at a 90° angle and to reduce the anesthesiologist’s discomfort. Sixty patients were randomly allocated according to landmarks on the anesthesiologist’s bodyumbilicus (group U), lowest rib margin (...

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Veröffentlicht in:Anesthesia and analgesia 2018-04, Vol.126 (4), p.1349-1352
Hauptverfasser: Sohn, Hye-Min, Kim, Hyerim, Hong, Jung-Pyo, Lee, Kyoung Min, Kim, Jinhee
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container_issue 4
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container_title Anesthesia and analgesia
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creator Sohn, Hye-Min
Kim, Hyerim
Hong, Jung-Pyo
Lee, Kyoung Min
Kim, Jinhee
description The aim of this study was to find the optimal table height to facilitate insertion of the spinal needle at a 90° angle and to reduce the anesthesiologist’s discomfort. Sixty patients were randomly allocated according to landmarks on the anesthesiologist’s bodyumbilicus (group U), lowest rib margin (R), xiphoid process (X), and nipple (N). The coronal insertion angle between the patient’s skin and the spinal needle was obtuse in groups U and R, and 90° in group X. We demonstrated that high operating tables at the xiphoid and nipple level facilitate more optimal needle entry angles while reducing the discomfort and joint flexion of anesthesiologists during spinal anesthesia.
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source MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Aged
Anesthesia, Spinal - instrumentation
Anesthesia, Spinal - methods
Anesthesiologists
Equipment Design
Ergonomics
Female
Humans
Injections, Spinal
Male
Middle Aged
Needles
Occupational Health
Operating Tables
Patient Positioning
Posture
Prospective Studies
Republic of Korea
Single-Blind Method
Young Adult
title Higher Operating Table for Optimal Needle-Entry Angle and Less Discomfort During Spinal Anesthesia
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