Ultrasound-assisted subarachnoid block in obese parturient: Need of the hour

Rana, Shelly; Gupta, Bhanu; Verma, Ajay; Awasthi, Harshvardhan

doi:10.4103/sja.sja_619_19

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Obesity in patients can make this technique more challenging as locating the anesthesia site markers on the body becomes difficult due to the thickness of adipose tissue, making it hard to palpate the spinous processes and intervertebral spaces. 1,5 Ultrasound, a portable and secure technology, is progressively employed to aid in anesthesia procedures. Its utilization has become commonplace in numerous invasive techniques, including vascular access and nerve/regional blocks.…”

Section: Discussionmentioning

confidence: 99%

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Spinal Anesthesia with Ultrasonography (USG) Marker in Morbidly Obese Pregnant Women Undergoing Cesarean Section Surgery: A Case Report

Parama Adi,

I Gusti Ngurah Mahaalit Aribawa,

I Gusti Agung Gede Utara Hartawan

et al. 2024

Bioscmed

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Background: Spinal anesthesia is a regional anesthesia technique used to provide analgesia or numbness in the lower part of the body. This technique has long been employed in childbirth and cesarean section surgeries due to its numerous advantages for pregnant women. Obese pregnant patients often have increased adipose tissue in the back area, making it challenging to identify the appropriate interspinous space. Case presentation: A 26-year-old primigravida at 38 weeks of gestation with morbid obesity, standing at 158 cm tall and weighing 140 kg, with a body mass index (BMI) of 56.1 kg/m², underwent cesarean section surgery under spinal anesthesia. The identification of the spinal needle insertion site was performed using pre-procedural ultrasound (USG) marker at the L3-L4 level, with heavy bupivacaine 0.5% 12.5 mg used as the anesthetic agent. The surgery lasted for 1 hour and 20 minutes, with stable hemodynamics and a blood loss of 450 ml. A female infant was delivered, weighing 3080 grams, with a length of 50 cm and an APGAR score of 8-9-10. Conclusion: The use of USG markers can assist in determining the precise location for spinal anesthesia injection, thereby reducing complications from repeated needle insertions.

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Section: Discussionmentioning

confidence: 99%

“…The operator's experience also plays a significant role. 1,2 The use of ultrasound guidance in spinal anesthesia procedures has become a well-accepted common practice in managing pregnant patients with obesity.…”

Section: Introductionmentioning

confidence: 99%

Spinal Anesthesia with Ultrasonography (USG) Marker in Morbidly Obese Pregnant Women Undergoing Cesarean Section Surgery: A Case Report

Parama Adi,

I Gusti Ngurah Mahaalit Aribawa,

I Gusti Agung Gede Utara Hartawan

et al. 2024

Bioscmed

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“…Además, se ha desarrollado un sistema de identificación del nivel de la columna vertebral basado en aprendizaje automático para facilitar el proceso (26).…”

Section: B Técnicas De Ultrasonido En Anestesia Regionalunclassified

Avances en Técnicas De Anestesia Regional: Beneficios Y Consideraciones.

Vera,

Lorenti,

López

et al. 2024

Braz. J. Implantol. Health Sci.

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La anestesia regional (AR) ha sido fundamental en la práctica médica moderna al permitir procedimientos quirúrgicos seguros y eficaces al bloquear selectivamente la sensación de dolor en regiones específicas del cuerpo. Avances significativos en las técnicas de anestesia regional (TAR) han abierto nuevas posibilidades y desafíos en la anestesiología. Objetivo: Analizar la literatura existente sobre los avances más recientes en TAR, resaltar sus beneficios potenciales y abordar las consideraciones clave que los profesionales de la salud deben tener en cuenta al aplicar estas técnicas en la práctica clínica. Materiales y Métodos: Se realizó una revisión bibliográfica en bases de datos como PubMed, Scopus y Web of Science, limitada a estudios publicados en los últimos 5 años. Se extrajeron datos clave de los estudios seleccionados para realizar un análisis crítico y una síntesis de la literatura revisada. Resultados: Las técnicas de anestesia regional (TAR) ofrecen beneficios como la reducción de la necesidad de anestesia general, menor riesgo de complicaciones respiratorias, mejor control del dolor postoperatorio, menor incidencia de náuseas y vómitos, y estancias hospitalarias más cortas. En cuanto a los avances recientes, se han desarrollado nuevas modalidades de bloqueo, como el bloqueo de plano facial y los bloqueos ahorradores de diafragma, que ofrecen analgesia efectiva con menos efectos adversos. El uso del ultrasonido ha mejorado la precisión y seguridad de los bloqueos nerviosos, y se han explorado nuevas formas de administración de anestésicos locales, como las inyecciones intraraciales, para mejorar la eficacia y seguridad de la anestesia regional. Además, tecnologías emergentes como la realidad virtual, la inteligencia artificial y la simulación por computadora están transformando la enseñanza y práctica de las técnicas de anestesia regional, mejorando la competencia y confianza de los profesionales. Conclusiones: Los avances en TAR están transformando la práctica clínica, ofreciendo resultados más seguros y efectivos para los pacientes. Es crucial mantenerse actualizado en este campo para garantizar la prestación de cuidados óptimos.

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Recent advancements in regional anaesthesia

Kurdi

Thakkar

Arora

et al. 2023

Indian Journal of Anaesthesia

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Patient safety, improved quality of care, and better patient satisfaction and functional outcomes are currently the topmost priorities in regional anaesthesia (RA) and all advancements in RA move in this direction. Ultrasonography-guided central neuraxial and peripheral nerve blocks, intracluster and intratruncal injections, fascial plane blocks, diaphragm-sparing blocks, use of continuous nerve block techniques, and continuous local anaesthetic wound infiltration catheters are now topics of popular clinical interest. The safety and efficacy of nerve blocks can be improved with the help of injection pressure monitoring and the incorporation of advanced technology in the ultrasound machine and needles. Novel procedure-specific and motor-sparing nerve blocks have come up. The anaesthesiologist of the current era, with a good understanding of the sonoanatomy of the target area and the microarchitecture of nerves, along with the backup of advanced technology, can be very successful in performing RA techniques. RA is rapidly evolving and revolutionising the practice of anaesthesia.

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Ultrasound-assisted subarachnoid block in obese parturient: Need of the hour

Cited by 3 publications

References 9 publications

Spinal Anesthesia with Ultrasonography (USG) Marker in Morbidly Obese Pregnant Women Undergoing Cesarean Section Surgery: A Case Report

Spinal Anesthesia with Ultrasonography (USG) Marker in Morbidly Obese Pregnant Women Undergoing Cesarean Section Surgery: A Case Report

Avances en Técnicas De Anestesia Regional: Beneficios Y Consideraciones.

Recent advancements in regional anaesthesia

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