Lumbar Ultrasonography for Obstetric Neuraxial Blocks: Sonoanatomy and Literature Review


ŞAHİN T. , BALABAN O.

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, cilt.46, ss.257-267, 2018 (ESCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 46 Konu: 4
  • Basım Tarihi: 2018
  • Doi Numarası: 10.5152/tjar.2018.90277
  • Dergi Adı: TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION
  • Sayfa Sayıları: ss.257-267

Özet

Ultrasonography has gained popularity in recent years among anaesthesiologists and being used widely for regional blocks and central venous catheterization. Ultrasonography for neuraxial blocks was found beneficial especially for determining the correct needle insertion site and estimating the needle insertion depth of epidural space. In many recent studies, ultrasound guided epidural and spinal blocks have been evaluated among obstetric patients. Pre-procedural lumbar ultrasonography and real time ultrasound guidance for neuraxial blocks was the subject of these studies. We aimed to evaluate lumbar ultrasonography for obstetric neuraxial blocks. We describe the principles of lumbar ultrasound scanning techniques and present a practical review of lumbar sonoanatomy. We discuss the potential impact and benefits of the ultra-sound-guided technique in improving obstetric neuraxial blocks and limitations of its use in clinical practice, based on previous studies.