The effects of 45 degree head up tilt on the lumbar puncture success rate in children undergoing spinal anesthesia

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dc.contributor.authorApılıoğulları, Seza
dc.contributor.authorDuman, Ateş
dc.contributor.authorGök, Funda
dc.contributor.authorOgun, Cemile Öztin
dc.contributor.authorAkıllıoğlu, İshak
dc.date.accessioned2020-03-26T17:28:05Z
dc.date.available2020-03-26T17:28:05Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: There are few studies for procedural techniques of lumbar puncture (LP) for spinal anesthesia in children. There are no controlled studies on the effect of patient positioning. We designed this prospective, randomized study to compare the success rates of LP of the lateral decubitus and lateral decubitus position with a 45 degree head up tilt in children undergoing spinal anesthesia. Methods: Study was conducted in 180 children aged between one month to twelve years. The LP was performed under general anesthesia using sevoflurane with a 26-gauge, atraumatic needle either in the standard lateral decubitus, knee-chest position (group I, n = 90) or lateral decubitus, knee-chest position with a 45 degree head up tilt (group II, n = 90). The free flow of clear cerebrospinal fluid (CSF) at first attempt was considered to evidence a successful LP. Results: The two groups were similar in age and weight. Total LP success rate was higher in group II than in group I (P < 0.05). When the significance between the groups was evaluated according to age, the increase in LP success rate was significant in children aged < 12 months of age but not significant in children older than 12 months of age. Conclusions: Because of higher success rate, lateral decubitus, knee-chest position with 45 degree head up tilt may be the preferred position for spinal anesthesia in infants.en_US
dc.identifier.doi10.1111/j.1460-9592.2008.02780.xen_US
dc.identifier.endpage1182en_US
dc.identifier.issn1155-5645en_US
dc.identifier.issue12en_US
dc.identifier.pmid19076571en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1178en_US
dc.identifier.urihttps://dx.doi.org/10.1111/j.1460-9592.2008.02780.x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22712
dc.identifier.volume18en_US
dc.identifier.wosWOS:000260540500005en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWILEY-BLACKWELLen_US
dc.relation.ispartofPEDIATRIC ANESTHESIAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectlumbar punctureen_US
dc.subjectpatient positionen_US
dc.subjectpediatricen_US
dc.subjectspinal anesthesiaen_US
dc.subjecttechniqueen_US
dc.titleThe effects of 45 degree head up tilt on the lumbar puncture success rate in children undergoing spinal anesthesiaen_US
dc.typeArticleen_US

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