Correction to: Landmark-guided versus modified ultrasound-assisted Paramedian techniques in combined spinal-epidural anesthesia for elderly patients with hip fractures: a randomized controlled trial

Qu, Bo; Zhang, Yuling; Jiang, Mengting; Wu, Caineng; Ma, Wuhua; Li, Yuhui

doi:10.1186/s12871-020-01183-8

Cited by 8 publications

(5 citation statements)

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“…Nineteen two-arm studies and one three-arm study documented first-pass success rates and were pooled for analysis 2 3 11–17 19–27 29 30. Across all studies, traditional positioning was the most frequently cited (online supplemental figure 1A).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 16 trials provided data on first-attempt success rates 2 3 11 12 14 18–22 24–28 30. The network node diagram is shown in online supplemental figure 2A.…”

Section: Resultsmentioning

confidence: 99%

“…The network diagrams and forest diagrams of each study are shown in online supplemental figure 3A,B. The results2 3 11 12 17–19 21–23 26 27 30 show that the traditional positioning method has the shortest positioning time (online supplemental figure 3D), but the ultrasound-assisted and real-time guided puncture positioning time does not show significant differences (online supplemental figure 3C). The funnel plot is shown in figure 3SE.…”

Section: Resultsmentioning

confidence: 99%

“…In a second subgroup analysis, we included patients with a mean age over 70 years and those with abnormal lumbar anatomy (previous lumbar surgery or scoliosis) 2 19 21 22 28. The network diagram and forest diagram are shown in online supplemental figure 7A,B.…”

Section: Resultsmentioning

confidence: 99%

“…All experiments were two or three arms. Among them, 13 studies compared ultrasound-assisted localisation with conventional localisation, [11][12][13][14][15][16][17][18][19][20][21][22][23] 5 studies compared ultrasound-assisted localisation with conventional localisation [24][25][26][27][28] and 3 studies compared ultrasoundassisted localisation with real-time guidance in the spinal anaesthesia. 2 3 19 One study compared the use of three methods in spinal anaesthesia.…”

Section: Research Characteristicsmentioning

confidence: 99%

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Comparison of ultrasound-guided and traditional localisation in intraspinal anesthesia: a systematic review and network meta-analysis

Zhang,

Peng,

Wei

et al. 2023

BMJ Open

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ObjectivesThe optimal puncture technique for neuraxial anaesthesia in different populations is unclear. We sought to obtain data from randomised controlled trials comparing the impact of ultrasound-guided technology and traditional positioning technology on the success rate of neuraxial anaesthesia.DesignSystematic review and network meta-analysis using study populations, interventions, intervention comparisons, outcome measures and study types.Data sourcesPubMed, Embase, Cochrane Library and Web of science were searched until 31 September 2022.Eligibility criteriaWe included randomised controlled trials comparing three types of neuraxial anaesthesia: ultrasound-assisted, ultrasound real-time guidance and conventional positioning to describe which neuraxial anaesthesia modality is best for patients and to recommend the appropriate one for different populations.Data extraction and synthesisFive independent reviewers retrieved, screened and edited included studies using standardised methods. Assess risk of bias using the Cochrane Collaboration and Evidence Project tools. Network meta-analysis was performed using STATA V.15 statistical software.ResultsTwenty-two studies containing three different interventions were included. The SUCRA values of first-pass success rates for the three neuraxial anaesthesia methods were real-time guidance (82.8%), ultrasound-assisted (67.1%) and traditional positioning (0.1%). Both ultrasound techniques improved first-pass success rates compared with traditional localization, but there was no significant difference between the two. Subgroup analysis showed that the use of real-time ultrasound guidance for neuraxial anaesthesia in pregnant and patients with obesity improved first-pass success rates. Ultrasound-assisted technology can improve first-attempt success rates in older patients with abnormal lumbar spine anatomy.ConclusionCompared with conventional positioning, ultrasound guidance technology can improve the first-pass success rate of neuraxial anaesthesia, but there is no significant difference between ultrasound-assisted and real-time guidance technology. The results of subgroup analysis tell us that the most suitable neuraxial anaesthesia method is different for different groups of people.PROSPERO registration numberPROSPERO number: CRD42022376041.

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Section: Resultsmentioning

confidence: 99%

“…A total of 16 trials provided data on first-attempt success rates 2 3 11 12 14 18–22 24–28 30. The network node diagram is shown in online supplemental figure 2A.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Research Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of ultrasound-guided and traditional localisation in intraspinal anesthesia: a systematic review and network meta-analysis

Zhang,

Peng,

Wei

et al. 2023

BMJ Open

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Ultrasonography versus palpation for spinal anesthesia in obese parturients undergoing cesarean delivery: a randomized controlled trial

Tawfik

Tolba

Ismail

et al. 2023

Reg Anesth Pain Med

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IntroductionUltrasonography may facilitate neuraxial blocks in obstetrics. This randomized controlled trial aimed to compare preprocedural ultrasonography with landmark palpation for spinal anesthesia in obese parturients undergoing cesarean delivery.Methods280 American Society of Anesthesiologists (ASA) physical status II–III parturients with body mass index ≥35 kg/m2, full-term singleton pregnancy, undergoing elective cesarean delivery under spinal anesthesia, were randomly assigned to two equal groups (ultrasonography and palpation); preprocedural systematic ultrasound approach and conventional landmark palpation were performed, respectively. Patients and outcome assessors were blinded to the study group. All ultrasound and spinal anesthetic procedures were performed by a single experienced anesthesiologist. The primary outcome was the number of needle passes required to obtain free cerebrospinal fluid (CSF) flow. Secondary outcomes were the number of skin punctures required to obtain free CSF flow, success rate at the first needle pass, success rate at the first skin puncture, duration of the spinal procedure, patient satisfaction and incidence of vascular puncture, paresthesia, failure to obtain CSF flow and failed spinal block.ResultsThere were no significant differences in primary or secondary outcomes between the two groups. The median (IQR) of the number of needle passes required to obtain free CSF flow was 3 (1–7) in ultrasonography group and 3 (1–7) in palpation group; p=0.62.ConclusionsPreprocedural ultrasonography did not decrease the number of needle passes required to obtain free CSF flow or improve other outcomes compared with landmark palpation during spinal anesthesia performed by a single experienced anesthesiologist in obese parturients undergoing cesarean delivery.Trial registration numberNCT03792191;https://clinicaltrials.gov/ct2/show/NCT03792191

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Dual- vs. Single-Plane Ultrasonic Scan-Assisted Positioning during Lumbar Spinal Puncture in Elderly Patients: A Randomized Controlled Trial

Huang

Liu

et al. 2022

JCM

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The purpose of this study was to investigate the ability of single- versus dual-plane ultrasound scan-assisted spinal anesthesia techniques to improve the success rate and efficacy of spinal anesthesia in elderly patients undergoing lower extremity surgery. A total of 120 elderly patients undergoing lower extremity surgery were randomly assigned to either receive single-plane (Group A) or dual-plane ultrasonic scan-assisted spinal anesthesia (Group B). The primary outcome analyzed by this study was first-attempt success rate. Secondary outcomes analyzed included number of needle insertion attempts, needle redirections, locating time, procedural time, total time, puncture depth, quality of ultrasound images, level of block, adverse reactions, and complications. The first-attempt success rate was significantly higher in Group B compared to Group A (88.3% vs. 68.3%, p = 0.008). In comparison with Group A, the number of needle insertion attempts (1 (1–2) vs. 1 (1–1), p = 0.005) and needle redirections (2 (1–3) vs. 1 (0–2), p < 0.001) were both significantly lower in Group B; Group B also had a shorter procedural time (249.2 ± 30.1 vs. 380.4 ± 39.4 s, p < 0.001) but a longer locating time (250.1 ± 26.2 vs. 137.8 ± 13.5 s, p < 0.001). The dual-plane ultrasonic scan-assisted spinal anesthesia technique warrants consideration for application in elderly patients.

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Correction to: Landmark-guided versus modified ultrasound-assisted Paramedian techniques in combined spinal-epidural anesthesia for elderly patients with hip fractures: a randomized controlled trial

Abstract: An amendment to this paper has been published and can be accessed via the original article.

Cited by 8 publications

References 1 publication

Comparison of ultrasound-guided and traditional localisation in intraspinal anesthesia: a systematic review and network meta-analysis

Comparison of ultrasound-guided and traditional localisation in intraspinal anesthesia: a systematic review and network meta-analysis

Ultrasonography versus palpation for spinal anesthesia in obese parturients undergoing cesarean delivery: a randomized controlled trial

Dual- vs. Single-Plane Ultrasonic Scan-Assisted Positioning during Lumbar Spinal Puncture in Elderly Patients: A Randomized Controlled Trial

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