ArticlePakistan journal of medical sciences
Anatomical predicting factors of difficult spinal anesthesia in patients undergoing cesarean section: An observational study.
Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Endoscopic-Assisted Spinal Approach to Remove a Broken Spinal Needle: Technical Notes and Case Report of a Complication of Spinal Anesthesia.Case reports in orthopedics · 2026Article
- Clinical nursing value of predictive nursing in reducing complications of pregnant women undergoing short-term massive blood transfusion during cesarean section.World journal of clinical cases · 2024Article
- Comparison of ultrasonographic anatomy of spine in traditional sitting position versus crossed leg position in term pregnancy: A prospective, observational, crossover study.Indian journal of anaesthesia · 2023Article
- Review
- Predictors of Failed Spinal Arachnoid Puncture Procedures: An Artificial Neural Network Analysis.Cureus · 2022Article
- Article
- Factors predicting difficult spinal block: A single centre study.Journal of anaesthesiology, clinical pharmacologyArticle
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Authors and funding
5 authors.
Funding
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Abstract
objectivesAlthough Spinal anesthesia is the most common and safe anesthetic method for patients undergoing cesarean section, difficult access to it is a frequent problem in operating theaters. The predictive factors for the difficulty of spinal anesthesia in patients undergoing cesarean section were investigated.
methodsA total of 110 pregnant women, single-stranded, aged 18-40 years old and ASA class I or II candidates for elective cesarean section with spinal anesthesia were studied. Demographic information, body appearance, ability to bend the back of the patient was recoded. Also the position of the anatomical landmarks of the lumbar spine, the presence or absence of deformity in the spinal column lumbar was recorded for all patients.
resultsThe correlation coefficient of age, weight, body mass index, general body appearance, retention ability, anatomical signs of the spinal column (touching the spinous process) and the interval between the vertebra with the difficulty of spinal anesthesia were statistically significant (
conclusionIncreasing age, weight, body mass index, reducing the ability to bend the waist, the non-touching of the spinous process and interstitial space causes the difficulty of performing spinal anesthesia in patients undergoing cesarean section. The results can contribute to determining and designing a spinal blockade scoring system based on the patient's characteristics and effective factors before the surgery, to facilitate the technique by anesthesiologist.
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