Computed tomographic study of lumbar (L3?4) epidural depth and its relationship to physical measurements in young adult men*1

Bahk, Jae Hyon; Lee, Jin Sung; Lee, Sang Chul

doi:10.1016/s1098-7339(98)90052-9

Cited by 9 publications

(1 citation statement)

References 8 publications

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“…[33] Computed tomography (CT) was used to measure the depth of the epidural space in non-pregnant patients. It is sufficient to use a standard epidural needle for the first attempt.…”

Section: Dural Puncturementioning

confidence: 99%

Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new?

Rao

2010

Indian J Anaesth

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The purpose of this article is to review the fundamental aspects of obesity, pregnancy and a combination of both. The scientific aim is to understand the physiological changes, pathological clinical presentations and application of technical skills and pharmacological knowledge on this unique clinical condition. The goal of this presentation is to define the difficult airway, highlight the main reasons for difficult or failed intubation and propose a practical approach to management Throughout the review, an important component is the necessity for team work between the anaesthesiologist and the obstetrician. Certain protocols are recommended to meet the anaesthetic challenges and finally concluding with “what is new?” in obstetric anaesthesia.

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“…[33] Computed tomography (CT) was used to measure the depth of the epidural space in non-pregnant patients. It is sufficient to use a standard epidural needle for the first attempt.…”

Section: Dural Puncturementioning

confidence: 99%

Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new?

Rao

2010

Indian J Anaesth

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Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

Yoon

Kim

Lee

et al. 2021

Integrative Medicine Research

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Background The acupotomy is an acupuncture device recently used to stimulate lumbar vertebrae such as transverse processes (TPs) and facet joints (FJs). However, there are many organs, nerves, and blood vessels, which can lead to side effects if the needle misses the treatment target. Therefore, information regarding appropriate insertion depths, which is currently lacking, could facilitate its safe use. We retrospectively investigated the depth from the skin to the TP and FJ of the lumbar vertebrae, using magnetic resonance imaging (MRI). Methods This retrospective chart review was conducted at a single medical centre in Korea. From 55,129 patient records, 158 subjects were selected. Perpendicular depth from the skin to the left and right TPs and FJs was measured using T1-weighted sagittal plane MRI. Depth differences between the left and right sides were evaluated using the paired t -test and analysis of covariance (body mass index [BMI] as a covariate). The influence of BMI on depth at each location was evaluated by simple linear regression analysis. Results The mean age was 43.2 years and mean BMI was 23.6 kg/m 2 . The depth from skin to the TPs or FJs was unaffected by age, sex, or side. Mean depths (cm) were as follows: (TPs) L1 = 4.5, L2 = 4.9, L3 = 5.3, L4 = 5.7, L5 = 5.9; (FJs) L12 = 3.8, L23 = 4.0, L34 = 4.4, L45 = 4.6, L5S1 = 4.6. Depth was highly correlated with BMI at each location. Conclusion The depth of TPs and FJs adjusted for BMI can safely and effectively be used for treatment via various invasive interventions, including acupotomy treatment, in the lumbar region.

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Anesthésie de la parturiente obèse

Devroe

Velde

2012

Le Praticien en Anesthésie Réanimation

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Computed tomographic study of lumbar (L3?4) epidural depth and its relationship to physical measurements in young adult men*1

Cited by 9 publications

References 8 publications

Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new?

Morbidly obese parturient: Challenges for the anaesthesiologist, including managing the difficult airway in obstetrics. What is new?

Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

Anesthésie de la parturiente obèse

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