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Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study

In current practice, single-shot spinal anesthesia has traditionally been performed using the conventional surface-anatomic-Landmark-Guided technique. This “blind” technique has significant critical issues such as a high risk of complications due to the numerous attempts at spinal needle placement a...

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Autores principales: Coviello, Antonio, Iacovazzo, Carmine, Piccione, Ilaria, Posillipo, Concetta, Barone, Maria Silvia, Ianniello, Marilena, de Siena, Andrea Uriel, Cirillo, Dario, Vargas, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10608531/
https://www.ncbi.nlm.nih.gov/pubmed/37888126
http://dx.doi.org/10.3390/jpm13101515
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author Coviello, Antonio
Iacovazzo, Carmine
Piccione, Ilaria
Posillipo, Concetta
Barone, Maria Silvia
Ianniello, Marilena
de Siena, Andrea Uriel
Cirillo, Dario
Vargas, Maria
author_facet Coviello, Antonio
Iacovazzo, Carmine
Piccione, Ilaria
Posillipo, Concetta
Barone, Maria Silvia
Ianniello, Marilena
de Siena, Andrea Uriel
Cirillo, Dario
Vargas, Maria
author_sort Coviello, Antonio
collection PubMed
description In current practice, single-shot spinal anesthesia has traditionally been performed using the conventional surface-anatomic-Landmark-Guided technique. This “blind” technique has significant critical issues such as a high risk of complications due to the numerous attempts at spinal needle placement and the negative impact on the learning curve of the trainees. Ultrasound-Assisted spinal anesthesia could reduce these critical issues and allow trainees to perform the procedure more easily and with fewer complications for the patient. We performed a before-and-after monocentric retrospective comparative study at the University of Naples “Federico II” (Naples, Italy). Inclusion criteria were as follows: patients aged 18 years or older; ASA physical status between I and IV; and elective orthopedic surgery under single-shot spinal anesthesia performed by supervised trainees between January 2022 and December 2022. In the selected cohort, 88 patients were included in group A (Landmark-Guided spinal anesthesia) and 91 in group B (Ultrasound-Assisted spinal anesthesia). The number of attempts by trainees (p-value < 0.005), procedure performing time (<0.001), and patient discomfort (<0.001) were significantly lower in group B than in group A. Ultrasound-Assisted single-shot spinal anesthesia performed by novice trainees reduces the number of attempts, complication rate, periprocedural pain, and patient discomfort.
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spelling pubmed-106085312023-10-28 Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study Coviello, Antonio Iacovazzo, Carmine Piccione, Ilaria Posillipo, Concetta Barone, Maria Silvia Ianniello, Marilena de Siena, Andrea Uriel Cirillo, Dario Vargas, Maria J Pers Med Article In current practice, single-shot spinal anesthesia has traditionally been performed using the conventional surface-anatomic-Landmark-Guided technique. This “blind” technique has significant critical issues such as a high risk of complications due to the numerous attempts at spinal needle placement and the negative impact on the learning curve of the trainees. Ultrasound-Assisted spinal anesthesia could reduce these critical issues and allow trainees to perform the procedure more easily and with fewer complications for the patient. We performed a before-and-after monocentric retrospective comparative study at the University of Naples “Federico II” (Naples, Italy). Inclusion criteria were as follows: patients aged 18 years or older; ASA physical status between I and IV; and elective orthopedic surgery under single-shot spinal anesthesia performed by supervised trainees between January 2022 and December 2022. In the selected cohort, 88 patients were included in group A (Landmark-Guided spinal anesthesia) and 91 in group B (Ultrasound-Assisted spinal anesthesia). The number of attempts by trainees (p-value < 0.005), procedure performing time (<0.001), and patient discomfort (<0.001) were significantly lower in group B than in group A. Ultrasound-Assisted single-shot spinal anesthesia performed by novice trainees reduces the number of attempts, complication rate, periprocedural pain, and patient discomfort. MDPI 2023-10-21 /pmc/articles/PMC10608531/ /pubmed/37888126 http://dx.doi.org/10.3390/jpm13101515 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Coviello, Antonio
Iacovazzo, Carmine
Piccione, Ilaria
Posillipo, Concetta
Barone, Maria Silvia
Ianniello, Marilena
de Siena, Andrea Uriel
Cirillo, Dario
Vargas, Maria
Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title_full Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title_fullStr Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title_full_unstemmed Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title_short Impact of Ultrasound–Assisted Method on Success Rate of Spinal Anesthesia Performed by Novice Trainees: A Retrospective Comparative Study
title_sort impact of ultrasound–assisted method on success rate of spinal anesthesia performed by novice trainees: a retrospective comparative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10608531/
https://www.ncbi.nlm.nih.gov/pubmed/37888126
http://dx.doi.org/10.3390/jpm13101515
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