J Anesth Perioper Med. 2018;5(2):85-91. https://doi.org/10.24015/ebcmed.japm.2017.0050
From the Departments of Medical Education and Anesthesiology, West Virginia University School of Medicine, Morgantown, WV, USA.
Correspondence to Dr. Manuel C. Vallejo at firstname.lastname@example.org.
EBCMED ID: ebcmed.japm.2017.0050 DOI: 10.24015/ebcmed.japm.2017.0050
Aim of review
To determine the current state of pre-procedure neuraxial ultrasound in obstetric anesthesia practice.
The PubMed and Scopus databases were searched for the keywords “neuraxial”, or “epidural”, or “spinal” or “ultrasound”, combined with “obstetric anesthesia”. A current review of original studies, systematic reviews, and meta-analysis within the past decade were included in the analysis.
Pre-procedure ultrasound imaging enhances successful neuraxial placement through determination of the optimal vertebral interspace, identification of the midline, location of the optimal insertion point, best angle for needle insertion, and accurate depth for needle advancement to the epidural or intrathecal space. In the experienced clinician, neuraxial ultrasound imaging can be of particular benefit in parturients with difficult anatomy and/or landmarks.
Neuraxial ultrasound imaging reduces the risk of failed or traumatic lumbar punctures and epidural catheterizations, the number of insertion attempts, and needle redirections. (Funded by the Departments of Medical Education and Anesthesiology, West Virginia University School of Medicine.)
Declaration of Interests
The author declares no conflicts of interest.
This work was supported by the Departments of Medical Education and Anesthesiology, West Virginia University School of Medicine.
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