Lumbale CT-gezielte Radiofrequenzablationen des Ramus medialis rami dorsalis nervi spinalis

Feigl, Georg; Mattersberger, Christian; Rosmarin, W.; Likar, Rudolf; González, C. Avila

doi:10.1007/s00482-018-0283-9

Cited by 7 publications

(1 citation statement)

References 26 publications

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“…However, this method is highly dependent on patients' bony landmarks on the body surface, so it is difficult to apply it to patients with obesity or spinal/spinous deformity [ 6 ]. Hence, the method of imaging localization becomes another common method of lumbar positioning [ 7 ]. In addition, surgery usually brings great trauma and perioperative risk to patients, so the enhanced recovery after surgery (ERAS) is designed to reduce the perioperative stress and trauma [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Spiral Computed Tomography Imaging Analysis of Positioning of Lumbar Spinal Nerve Anesthesia under the Concept of Enhanced Recovery after Surgery

Feng

Zhao

Wang³

2022

Contrast Media & Molecular Imaging

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The objective of this research was to explore the effect of perioperative anesthesia management for patients based on the concept of enhanced recovery after surgery (ERAS) and the application value of the computed tomography (CT) localization method in lumbar spinal nerve anesthesia, reducing the damage caused by anesthesia. One hundred and twenty patients who underwent the lumbar spinal anesthesia in lower limb surgery were selected as the research subjects. According to puncture positioning and nursing intention, the patients were classified into the control group with 30 patients (method of anatomical landmarks), CT group with 50 patients (the CT localization), and ERAS group with 40 patients (the CT localization and the ERAS management). The effects of the anesthesia positioning method and the ERAS management were compared and analyzed. The results showed that d (0.32) and r (0.27) of exponential filtering function were notably smaller than those of R-L filtering function (d = 0.40, r = 0.39) and of S-R filtering function (d = 0.37, r = 0.36) ( P < 0.05 ). Puncture time ((9.23 ± 0.32) min vs. (13.11 ± 0.45) min), puncture direction change (20% vs. 33.33%), abnormal puncture sensation (22% vs. 40%), and nerve root touch (4% vs. 23.33%) in the CT group were all lower than those in the control group. The proportion of Degree I anesthesia effect (94%) of the CT group was greatly higher than that of the control group (76.67%) ( P < 0.05 ). The VAS score, time of activity and gastrointestinal function recovery, and the incidence of adverse reactions (2.5% vs. 28%) in the ERAS group were lower than those in the CT group ( P < 0.05 ). All in all, the CT localization method can improve the difficulty of anesthesia puncture and improve the anesthetic effect; the ERAS nursing concept can improve the postoperative pain of patients and contribute to the prognosis of patients and have a good clinical value.

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Section: Introductionmentioning

confidence: 99%