ArticleJournal of anaesthesiology, clinical pharmacology
Factors predicting difficult spinal block: A single centre study.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- [Interlaminar Distance and Bony Landmarks in Lumbar Neuraxial Anesthesia: A Concordance Study].Revista medica del Instituto Mexicano del Seguro Social · 2026Article
- Article
- Beyond incidence: clarifying the evidence-based predictors of failed spinal anesthesia.Patient safety in surgery · 2026Article
- Incidence and predictors of failed spinal anesthesia: a systematic review and meta-analysis.Patient safety in surgery · 2025Review
- Efficacy of Preoperative Pericapsular Nerve Group Block in Patients with Hip Fracture and its Effect on the Success of Spinal Anaesthesia: A Retrospective Study.Turkish journal of anaesthesiology and reanimation · 2024Article
- Article
- Performance of the ratio of posterior complex length to depth measured by ultrasound as a predictor of difficult spinal anesthesia for elective cesarean delivery: a prospective cohort study.Journal of anesthesia · 2024Observational
- [Spinal needle broken in situ during elective cesarean section].Die Anaesthesiologie · 2024Article
- Review
- Comparison of accuracy between augmented reality/mixed reality techniques and conventional techniques for epidural anesthesia using a practice phantom model kit.BMC anesthesiology · 2023Article
- M-mode scan line in ultrasound: A useful guide to identify the midline in central neuraxial block.Indian journal of anaesthesia · 2023Article
- Predictors of Failed Spinal Arachnoid Puncture Procedures: An Artificial Neural Network Analysis.Cureus · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsSeveral factors determine the success of dural puncture. We aimed to assess the association of first puncture success and number of attempts with characteristics of the patient, provider, technique and equipment. MATERIAL AND
methodsThis prospective, observational study was performed in 1647 adult patients undergoing surgery under spinal anesthesia. Patient characteristics, anatomical landmarks, spinal bony deformity, provider experience, technique, skin punctures, needle redirections, subarachnoid space depth, and complications, if any, were noted. Difficult dural puncture was assessed by first puncture success and number of attempts (skin punctures plus needle redirections) required for successful needle placement.
resultsFirst puncture success was obtained in 872 (52.9%) patients. Failed dural puncture occurred in 4 (0.2%) of 1647 patients. Multivariate logistic regression analysis revealed that longer distance from C7 vertebral spine to tip of coccyx (
conclusionFirst puncture success of spinal block was influenced only by patient's anatomical factors, whereas the number of attempts required for successful block were predicted by both provider and patient factors.
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