The ‘Cross-Legged Foetal Sitting Neuraxial Position’: Is it Beneficial?-A Prospective Randomised Clinical Trial Via Ultrasonography

Kartufan, Fatma Ferda; Karatay, Emrah; Kızılcık, Nurcan; Köner, Özge

doi:10.5152/tjar.2019.41017

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…In a previous study, we showed that enlarged paraspinal muscle diameter was correlated with increased patient comfort. 12 To the best of our knowledge, no other studies have shown the correlation between paraspinal muscle relaxation and patient comfort before our aforementioned study. Further relaxation of the paraspinal muscles in the SFL position may help reduce pain in injection interventions during epidural and spinal anaesthesia; therefore, patient comfort might be better during the procedure.…”

Section: Discussionmentioning

confidence: 79%

“…6,9 In a previous study performed by us, patients were placed in the SFL position; however, patients' arms were rested on their knees. 12 There was no difference in spinal anaesthesia success between frequently used lateral decubitus fetal and conventional sitting positions. 13 In their study, Manggala et al 8 could not find a difference between the crossedleg sitting position, which resembles our SFL position the most, and the conventional sitting position in terms of spinal anaesthesia success.…”

Section: Discussionmentioning

confidence: 85%

“… 6 , 9 In a previous study performed by us, patients were placed in the SFL position; however, patients’ arms were rested on their knees. 12 …”

Section: Discussionmentioning

confidence: 99%

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Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation

Aksu,

Kartufan,

Köner

et al. 2023

TJAR

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Objective: During neuraxial anaesthesia, correct patient positioning is key for increased block success and (patient) comfort. The aim of this prospective study was to compare the lateral fetal decubitus (LFD) position with the sitting fetal lotus (SFL) regarding interspinous distance, transverse diameters of paravertebral muscles measured with ultrasonography, and patient comfort. Methods: Fifty adult participants who could sit cross-legged and had no lumbar anomalies were included in our prospective study. In both SFL and LFD positions, measurements were performed with ultrasonography; in the axial plane, interspinous distance at the level of L4-L5, in the sagittal plan, with the probe slightly tilted, subcutaneous tissue-spinous process depth, and transverse diameters of paravertebral muscles were measured. Stretcher, waist position, and abdominal comfort were scored on a scale of 1 (very bad) to 7 (perfect) with a verbal numeric satisfaction scale. Results: Interspinous distance was significantly larger in the SFL position than in the LFD position ( P < 0.05). There was no significant difference between the two positions ( P > 0.05) regarding patient comfort. Paravertebral muscle diameters were significantly broader in the SFL position than in the LFD position. The diameter of the left paravertebral muscle in the SFL position (45.8±8.8 mm) was larger than that in the LFD position (43±7.8 mm; P < 0.001). The diameter of the right paravertebral muscle in the SFL position was (47±9 mm) larger than that in the LFD position (43.4±7.6 mm; P < 0.001). Conclusion: Although there was no difference regarding the comfort between the two positions, the interspinous distance was larger in the SFL position than in the LFD position.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 85%

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Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation

Aksu,

Kartufan,

Köner

et al. 2023

TJAR

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“…[ 5 6 ] Various suggested positions aim to reduce lordosis by optimizing the flexion of the spine and opening the intervertebral space. [ 7 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of neuraxial acoustic target window of the spine among rider sitting, cross leg, hamstring stretch, and classical sitting position: An observational study

Singh,

Sethi,

Kaur

et al. 2024

Journal of Anaesthesiology Clinical Pharmacology

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Background and Aims: To compare ultra-sonographic dimensions of acoustic target window of the spine in the participants at four different sitting positions namely cross leg sitting (CLP), hamstring stretch (HSP), classical sitting (CSP) and riders sitting position (RSP). The primary objective of this study was to measure the neuraxial acoustic target window (defined as interlaminar distance between L3-L4 lamina). The secondary objective was to compare ultra-sonographic measurements of the depth of ligamentum flavum from the skin, and to compare the diameter of intrathecal space and comfort score in the four different sitting positions. Material and Methods: This study is a prospective observational study. Eighty participants were included and positioned in four different sitting positions to perform an ultra-sonographic scan and measure various parameters of the acoustic neuraxial window. The interlaminar distance, the distance of skin from the ligamentum flavum, and the diameter of the spinal canal or intrathecal space was measured in the L3-L4 intervertebral space in different positions. Results: The mean value of interlaminar distance among four sitting positions was ranging from 1.40 cm to 1.44 cm (P value 0.725.) The distance of ligamentum flavum from skin and diameter of intrathecal space was also comparable in all the groups. The comfort score in CSP was significantly better when compared to other groups with a median score of 4 (P value < 0.001). Conclusions: There is no statistically significant difference in interlaminar distance in various sitting positions. All four positions are equally effective and can be used as an alternative to spinal/epidural intervention, but the CSP came out to be the most comfortable and more emphasis should be given to the comfort as it increases the chance of success rate of the procedure.

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The ‘Cross-Legged Foetal Sitting Neuraxial Position’: Is it Beneficial?-A Prospective Randomised Clinical Trial Via Ultrasonography

Cited by 2 publications

References 15 publications

Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation

Comparison of Two Different Positions for Ultrasound-Guided Intervertebral Distance Evaluation

Comparison of neuraxial acoustic target window of the spine among rider sitting, cross leg, hamstring stretch, and classical sitting position: An observational study

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