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Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients

Yıl 2020, , 243 - 249, 17.06.2020
https://doi.org/10.5798/dicletip.748556

Öz

Objective: Spinal anesthesia is frequently used in many surgical procedures. Although both median and paramedian approaches are used in spinal anesthesia, the conventional median approach is preferred. Reportedly, degenerative changes in elderly patients are less affected by the paramedian approach during spinal anesthesia. In this study, we aim to determine which of the two methods is superior in elderly patients.
Method: This study, patients were treated with the median approach or paramedian approach during spinal anesthesia after appropriate procedural preparation.
Results: Overall, 103 patients were included in the study. The success rate was 90.5% in the paramedian approach and 79.1% in the median approach. The duration of the procedure was shorter in the paramedian approach than in the median approach (14.4 ± 8.2 versus 28.4 ± 24.9, p = 0.004). During the procedure, the repetition from another interval was more in the median approach than in the statistically insignificant level due to the contact with the spinal bones and failure. The average age of the patients with the procedure duration was <30 s was higher than those with procedure duration ≥30 s.
Conclusions: In elderly patients, the success rate of the paramedian approach in the first attempt and repeated trials increased, the procedure time was shortened, and the surgery could be performed more comfortably without touching the spinal bones independent of the flexion position. Therefore, we believe that the paramedian approach is a faster, safer, and more successful method compared with the median approach in elderly patients.

Kaynakça

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Toplam 17 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Original Articles
Yazarlar

Seyfi Kartal Bu kişi benim

Esra Kongur Bu kişi benim

Yayımlanma Tarihi 17 Haziran 2020
Gönderilme Tarihi 30 Eylül 2019
Yayımlandığı Sayı Yıl 2020

Kaynak Göster

APA Kartal, S., & Kongur, E. (2020). Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients. Dicle Tıp Dergisi, 47(2), 243-249. https://doi.org/10.5798/dicletip.748556
AMA Kartal S, Kongur E. Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients. diclemedj. Haziran 2020;47(2):243-249. doi:10.5798/dicletip.748556
Chicago Kartal, Seyfi, ve Esra Kongur. “Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients”. Dicle Tıp Dergisi 47, sy. 2 (Haziran 2020): 243-49. https://doi.org/10.5798/dicletip.748556.
EndNote Kartal S, Kongur E (01 Haziran 2020) Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients. Dicle Tıp Dergisi 47 2 243–249.
IEEE S. Kartal ve E. Kongur, “Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients”, diclemedj, c. 47, sy. 2, ss. 243–249, 2020, doi: 10.5798/dicletip.748556.
ISNAD Kartal, Seyfi - Kongur, Esra. “Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients”. Dicle Tıp Dergisi 47/2 (Haziran 2020), 243-249. https://doi.org/10.5798/dicletip.748556.
JAMA Kartal S, Kongur E. Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients. diclemedj. 2020;47:243–249.
MLA Kartal, Seyfi ve Esra Kongur. “Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients”. Dicle Tıp Dergisi, c. 47, sy. 2, 2020, ss. 243-9, doi:10.5798/dicletip.748556.
Vancouver Kartal S, Kongur E. Evaluation Of The Median And Paramedian Approach In Spinal Anesthesia In Elderly Patients. diclemedj. 2020;47(2):243-9.