Influence of the injection site (L2/3 or L3/4) and the posture of the vertebral column on selective spinal anesthesia for ambulatory knee arthroscopy

Acta Anaesthesiologica Scandinavica

Volumn 49, Issue 1, 2005, Pages 72-77

  Korhonen, Anna Maija ^a,b,c   Valanne, J V ^a   Jokela, R M ^b   Ravaska, P ^a   Volmanen, P ^a   Korttila, K ^b  

^a LAPLAND CENTRAL HOSPITAL   (Finland)

^b UNIVERSITY OF HELSINKI   (Finland)

^c Meilahti Hospital   (Finland)

Author keywords

Ambulatory; Bupivacaine; Knee arthroscopy; Selective spinal anesthesia; Vertebral column; Vertebral interspace

Indexed keywords

ATROPINE; BUPIVACAINE; ETILEFRINE; FENTANYL;

ADULT; AMBULATORY SURGERY; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FEMALE; HUMAN; INJECTION SITE; INTERVERTEBRAL DISK; KNEE ARTHROSCOPY; MAJOR CLINICAL STUDY; MALE; NERVE BLOCK; PATIENT POSITIONING; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPINAL ANESTHESIA;

ADULT; ANESTHESIA, SPINAL; ANESTHETICS, LOCAL; ARTHROSCOPY; BODY MASS INDEX; BUPIVACAINE; DOUBLE-BLIND METHOD; FEMALE; HEAD-DOWN TILT; HUMANS; KNEE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; MOTOR NEURONS; NERVE BLOCK; PHYSICAL STIMULATION; PROSPECTIVE STUDIES;

EID: 13444251541     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2004.00533.x     Document Type: Article

References (18)

1. Vaghadia H. Spinal anaesthesia for outpatients: controversies and new techniques. Can J Anaesth 1998; 45: R64-70.
2. Enk D. Unilateral spinal anaesthesia: gadget or tool? Curr Opin Anaesthesiol 1998; 11: 511-5.
3. Tuominen M, Taivainen T, Rosenberg P. Spread of spinal anaesthesia with plain 0.5% bupivacaine: influence of the vertebral interspace used for injection. Br J Anaesth 1989; 62: 358-61.
4. Valanne JV, Korhonen A-M, Jokela RM, Ravaska P, Korttila K. Selective spinal anesthesia: a comparison of hyperbaric bupivacaine 4 mg versus 6 mg for outpatient knee arthtroscopy. Anesth Analg 2001; 93: 1377-9.
5. Korhonen A-M, Valanne JV, Jokela RM, Ravaska P, Korttila K. Intrathecal hyperbaric bupivacaine 3mg + fentanyl 10 μg for outpatient knee arthroscopy with tourniquet. Acta Anaesthesiol Scand 2003; 47: 342-6.
6. Reynolds F. Damage to the conus medullaris following spinal anaesthesia. Anaesthesia 2001; 56: 235-47.
7. Broadbent CR, Maxwell WB, Ferrie R, Wilson DJ, Gawne-Cain M, Russel R. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia 2000; 55: 1122-6.
8. Kim J-T, Bahj J-H, Sung J. Influence of Age and Sex on the position of the conus nedullaris and Tuffier's line in adults. Anesthesiology 2003; 99 (6): 1359-63.
9. Patterson L, Avery N, Chan P, Parlow JL. The addition of fentanyl does not alter the extent of spread of intrathecal isobaric bupivacaine in clinical practise. Can J Anaesth 2001; 48: 786-72.
10. Altman DG, Machin D, Bryant RN, Gardner M. Statistics with Confidence, 2nd edn. Bristol: BMJ Books, 2000.
11. Tanasichuk M, Schultz E, Matthews J, Van Bergen F. Spinal hemianalgesia: An evaluation of a method, its applicability, and influence on the incidence of hypotension. Anesthesiology 1961; 22: 74-85.
12. Korhonen A-M, Valanne JV, Jokela RM, Ravaska P, Korttila K. Ondansetron does not prevent pruritus induced by low-dose intrathecal fentanyl. Acta Anaesthesiol Scand 2003; 47: 1292-7.
13. Casati A, Fanelli G, Cappelleri G et al. Effects of spinal needle type on lateral distribution of 0.5% hyperbaric bupivacaine. Anesth Analg 1998; 87: 355-9.
14. Gupta A, Axelsson K, Thörn SE et al. Low-dose bupivacaine plus fentanyl for spinal anesthesia during ambulatory inguinal herniorrhaphy: a comparison between 6 mg and 7.5 mg of bupivacaine. Acta Anaesthesiol Scand 2003; 47: 13-9.
15. Mulroy MF, Salinas FV, Larkin KL, Polissar NL. Ambulatory surgery patients may be discharged before voiding after short-acting spinal and epidural anesthesia. Anesthesiology 2002; 97: 315-9.
16. Ben-David B, Solomon E, Levin H, Admoni H, Goldik Z. Intrathecal fentanyl with small-dose dilute bupivacaine: better anaesthesia without prolonging recovery. Anesth Analg 1997; 85: 560-5.
17. De Tommaso O, Caporuscio A, Tagariello V. Neurological complications following central neuraxial blocks: are there predictive factors? Eur J Anaesthesiol 2002; 19: 705-16.
18. Saifuddin A, Burnett SDJ, White J. The variation of position of the conus medullaris in an adult population. Spine 1998; 23: 1452-6.