Modified 45-degree head-up tilt increases success rate of lumbar puncture in patients undergoing spinal anesthesia

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dc.authoridYILDIRIM, İLKER/0000-0002-4245-1163
dc.authoridColak, Alkin/0000-0001-9103-4844
dc.authorwosidYILDIRIM, İLKER/JVN-4780-2024
dc.authorwosidColak, Alkin/R-8739-2017
dc.contributor.authorSahin, Sevtap Hekimoglu
dc.contributor.authorColak, Alkin
dc.contributor.authorArar, Cavidan
dc.contributor.authorYildirim, Ilker
dc.contributor.authorSut, Necdet
dc.contributor.authorTuran, Alparslan
dc.date.accessioned2024-06-12T11:07:52Z
dc.date.available2024-06-12T11:07:52Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractLumbar puncture (LP) is one of the most common procedures performed in medicine. The aim of this prospective study is to determine the success rate of LP in lateral decubitus with 45-degree head-up tilt position, and compare it with traditional positions like sitting and lateral decubitus. Three hundred and thirty patients between 25 and 85 years of age who had undergone abdominal, urologic, and lower limb extremities surgeries were enrolled and 300 patients were divided into three different groups. The LP was performed with a 25-G atraumatic needle, either in the standard sitting position (group S, n = 100), lateral decubitus, knee-chest position (group L, n = 100) or lateral decubitus, knee-chest position with a 45-degree head-up tilt (group M, n = 100). The free flow of clear cerebrospinal fluid (CSF) upon first attempt was considered to be evidence of a successful LP. Total LP success rate was significantly higher in group M (85 %) than in groups S and L (70 and 65 %, respectively) (p = 0.004). When the significance between the groups was evaluated according to age, the increase in the LP success rate was not significant for a parts per thousand currency sign65 and > 65 age groups. There were no differences among the three groups in terms of bloody CSF (p = 0.229) and the number of attempts before dural puncture (p = 0.052). The lateral decubitus in knee-chest position with a 45-degree head-up tilt may be the preferred position for spinal anesthesia in young and elderly patients, due to the high success rate.en_US
dc.identifier.doi10.1007/s00540-013-1764-8
dc.identifier.endpage548en_US
dc.identifier.issn0913-8668
dc.identifier.issn1438-8359
dc.identifier.issue4en_US
dc.identifier.pmid24389883en_US
dc.identifier.scopus2-s2.0-84905899696en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage544en_US
dc.identifier.urihttps://doi.org/10.1007/s00540-013-1764-8
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22209
dc.identifier.volume28en_US
dc.identifier.wosWOS:000340520600011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofJournal Of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLumbar Punctureen_US
dc.subjectSpinal Anesthesiaen_US
dc.subjectTechniqueen_US
dc.subjectPatient Positionen_US
dc.subjectBlocken_US
dc.subjectTapen_US
dc.titleModified 45-degree head-up tilt increases success rate of lumbar puncture in patients undergoing spinal anesthesiaen_US
dc.typeArticleen_US

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