Improved Success & Clinical Outcomes in Elevated Position During Spinal Anesthesiology for Elderly

How to Cite

OrthoEvidence. Improved Success & Clinical Outcomes in Elevated Position During Spinal Anesthesiology for Elderly. ACE Report. 2020;9(12):22. Available from: https://myorthoevidence.com/AceReport/Report/12383

Study Type:Therapy

OE Level Evidence:1

Journal Level of Evidence:1

Elevated Lateral Position Improves the Success of Paramedian Approach Subarachnoid Puncture in Spinal Anesthesia before Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Study.

Med Sci Monit. 2020 Aug 6;26:e923813

Contributing Authors: W Zhang T Wang G Wang Y Yuan Y Zhou X Yang M Yang S Zheng

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Synopsis

Ninety elderly patients scheduled for hip fracture surgery were randomized to undergo spinal anesthesia via a subarachnoid puncture delivered in the lateral recumbent position (n=45) or an elevated lateral recumbent position with head and chest at 30° (n=45). The primary outcome of interest included the number of needle passes required for a successful puncture. Secondary outcomes of interest incl...