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Spinal Anesthesia and Lumbar Lordosis

Received from the Department of Anaesthetics, Royal Infirmary, Edinburgh, Scotland.

Abstract

Hyperbaric bupivacaine 0.5% (3.0 ml) was injected intr-thecally in two groups of 20 patients. Both groups of patients lay in the lateral position with their hips flexed at 90°. In groupF, the hip flexion was maintained for 5 minutes after turning supine. In group S, the hips were straightened before the patients were turned to the supine position. The technique of hip flexion to reduce the lumbar lord sis did not significantly limit the height of anesthetic blockade. The distribution of height of anesthetic blockade showed marked bimodality (P < 0.05) in both groups, in group F at T4 and T9 and in group S at T3 and T9. Cardiovascular side effects were minimal and equal in both groups.

Key Words: ANESTHETIC TECHNIQUES—spinal

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				G. Hocking and J. A. W. Wildsmith Intrathecal drug spread Br. J. Anaesth., October 1, 2004; 93(4): 568 - 578. [Full Text] [PDF]

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999