Real-Time Ultrasound-Guided Spinal Injection Using a Transverse In-Plane Dependent Technique: A Case Series. Issue 7 (11th July 2022)

• Record Type: Journal Article
• Authors: Sivakumar, Ranjith Kumar; Areeruk, Pornpatra; Mok, Louis Y. H.; Samy, Winnie; Karmakar, Manoj Kumar
• Is Part Of: A & A practice. Volume 16:Issue 7(2022)
• Page Start: e01596
• Publication Date: 2022-07-11
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001596
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Ultrasound-guided (USG) spinal injection is generally performed using a paramedian sagittal oblique scan, with the patient in the lateral decubitus position, and the spinal needle inserted in-plane from the nondependent side. This report evaluated the feasibility of performing USG spinal injection, using an alternative transverse interspinous scan with in-plane needle insertion, a transverse in-plane dependent (TIPD) technique, in 30 adult patients undergoing elective surgery under spinal anesthesia. Dural puncture was successfully achieved in 29 of 30 (96.6%) patients with 2 (1–3) attempts in 5 (4–8) minutes using the TIPD technique. Multiple interspinous osteophytes accounted for technical failure in 1 patient.