A prospective randomized study for assessing difficulty score for spinal anaesthesia
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Background: Spinal anaesthesia is one of the most popular and widely used anaesthetic procedures that provides complete sensory and motor block, as well as postoperative analgesia with a high success rate. Although, increasing co-morbidities, concomitant medication, surgery for advanced malignancy, patients with degenerative vertebral anomalies, as well as instances of infection poses a real challenge to the use of spinal anaesthesia. Material and Methods: A total of hundred patients were randomly allocated into two groups. For Group J, anaesthesia residents with an experience of six months to three years and for Group S senior anaesthetists with more than three years of experience had given the spinal anaesthesia. They were independently assessed and stratified according to the categories of the five difficulty predictors of spinal anaesthesia and data was analyzed by ROC curve. Results: Group J could successfully give subarachnoid block (SA) in 42 cases out of 50, whereas, group S, could successfully give SA block in less than 4 attempts in 43 cases and at 4th attempt in 7 cases. It was found that spinal score of 4 or more than 4 was a predictor of difficult SA block. Discussion: Spinal score of 4 or more than 4 could be considered as a difficult score from our study population. Use of difficulty score can stratify patients to the appropriate anaesthesiologists, reducing the number of trials thereby reducing the patient discomfort and the number of complications.
Authors and Affiliations
Gunadhar Padhi, Vandana V Laheri
Keywords
Related Articles
- EP ID EP498749
- DOI -
- Views 113
- Downloads 0
Conceptual study of USHNODAKA in relation to anupana
An ancient science of life i.e. Ayurveda blessed us with their Basic principles, prevention techniques and treatments of diseases. The ancient Acharyas have told us prevention techniques like Dincharya, Rutucharya, Sadvr...
To Study the Chemotherapeutic Effect of Doxorubicin When Combined With Aspirin and Clopidogrel in Ehrlich Ascites Carcinoma Induced Adult Wistar Rats
Objective: To determine whether there is an enhanced chemotherapeutic effect of Doxorubicin when combined with Aspirin and Clopidogrel (anti platelet drugs) in Ehrlich Ascites Carcinoma induced adult wistar rats.Methodol...
Association between Periodontitis and Cardiovascular Diseases: A Clinicobiochemical Study
Introduction: The periodontal tissues mount an immune inflammatory response to bacteria and their products and the systemic challenge with these agents also induce a major vascular response. Oral infection models ha...
Relation between Mitochondrial Thiols and Thioredoxin System in Some Cancers
Mitochondria are the site for generation of highly reactive oxygen and nitrogen species. These bring about oxidation and nitration of various biomolecules in the vicinity thus affecting their functions. Mitochondrial thi...
Observation on Quantitative and Qualitative Variability in Extracellular Enzymes of Certain Isolates of Genus Alternaria
A few extracellular enzymes of the isolates of AlternariA. alternata and AlternariA. triticina were viscometrically determined, Quantitative variability was noticed in PG, PME, PGTE, PMTE, PMG, cellulase and protease in...