Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study

Oh, Saecheol; Park, Yoojung; Hana, Kwon; Eom, Eunjin; Kim, Dal-ah

doi:10.4097/kja.22099

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…276 patients were reviewed and only 25 had a failed block, with a success rate of 90.9%. [ 93 ] A modified technique to Taylor’s approach using pre-procedural lumbar X-ray to locate the space and insertion point in elderly patients had been described too. [ 94 ] Imaging modalities such as X-ray, fluoroscopy, and pre-procedural CT scans can be utilized; however, they have the disadvantages of not being readily available and the risk of radiation.…”

Section: Lower Limbmentioning

confidence: 99%

Regional anesthesia for geriatric population

Al Harbi,

Alshaghroud,

Aljahdali

et al. 2023

Saudi Journal of Anaesthesia

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Advancements in modern health care over 20 years have substantially increased the average lifespan in developed countries, and the fastest growing population is the elderly population. The proportion of people in Saudi Arabia aged 60 or more is predicted to be 25 percent of the total population of 40 million by the end of 2050. Moreover, the number of people aged 80 or more is expected to reach 1.6 million or 4 percent of the total population in the same period. Improvements in surgical techniques, anesthesia, and intensive care units make surgical interventions in older and sicker patients possible. It is estimated that over half of the population older than 65 years will require surgical intervention at least once during the remainder of their lives. Therefore, elderly patients are becoming an even larger part of anesthetic practice. Regional anesthesia (RA) is frequently used in elderly patients, especially during orthopedic surgery, genitourologic and gynecologic procedures, and hernia repair. Although age can no longer be considered a contraindication to anesthesia and surgery, anesthesia-related morbidity and mortality remain higher among elderly than among young adult surgical patients. Undoubtedly, peripheral nerve (PN) blocks improve analgesia and reduce opioid consumption and their associated side effects. This is beneficial in the perioperative care of elderly patients who may have less physiologic reserve to withstand the side effects of general anesthesia (GA).

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Section: Lower Limbmentioning

confidence: 99%

Regional anesthesia for geriatric population

Al Harbi,

Alshaghroud,

Aljahdali

et al. 2023

Saudi Journal of Anaesthesia

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“…In a retrospective observational study on 280 patients who underwent hip arthroplasty with 3D pelvis CT, access to the space between L5-S1 was evaluated. 14 Three-dimensional pelvis CTassisted Taylor approach of spinal anesthesia can be an alternative method for subarachnoid block in the L5-S1 space with an acceptable success rate. CT scan is often used along with the frame to help the neurosurgeon guide a hollow needle into the tumor.…”

Section: Computed Tomographymentioning

confidence: 99%

Old anatomy and new anatomical concepts for single shot and continuous spinal anesthesia

Imbelloni,

Gouveia,

Neto

et al. 2023

JACCOA

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This educational article shows the anatomy studied in cadavers and the latest imaging technology for spinal anesthesia. Neuraxial anesthesia is one of the regional anesthetic options that can be done by blocking the spinal cord neural transmission through the administration of local anesthetics either via intrathecal, epidural, continuous spinal anesthesia, or combined epidural-spinal anesthesia. Several descriptions of the spinal canal anatomy have been reported since the 16th century by Leonardo da Vinci, and the use of modern radiological imaging technology has provided important insights into understanding anatomical and pathophysiological aspects implicated in spinal anesthesia. The vertebral level at which the spinal cord finishes varies widely from T12 to the L3-L4 intervertebral disc and the spinal cord extends to the L1-L2 and the L2-L3. In this educational study, cadaver anatomy and new approaches with ultrasound, magnetic resonance imaging, computed tomography, and fluoroscopy will be covered, to approach spinal and continuous spinal anesthesia. Between the medulla and any given level of the spinal cord, the fibers of the anterolateral system and posterior columns are dissociated. Despite all the new imaging studies to assist in performing subarachnoid punctures for single shot or continuous spinal anesthesia, anatomical landmarks remain the most used for both the lumbar and thoracic approaches.

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Three-dimensional pelvis computed tomography-assisted Taylor approach for spinal anesthesia in hip arthroplasty: a retrospective study

Abstract: This article has been accepted for publication and has undergone full peer review but has not been through the copyediting, typesetting, pagination, and proofreading processes, which may lead to differences between this version and the version of record.

Cited by 2 publications

References 6 publications

Regional anesthesia for geriatric population

Regional anesthesia for geriatric population

Old anatomy and new anatomical concepts for single shot and continuous spinal anesthesia

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