|
KMID : 0374919950160030437
|
|
Inje Medical Journal
1995 Volume.16 No. 3 p.437 ~ p.444
|
|
|
The Distance to the Epidurale Space from Skin Surfac
|
|
김성주
김철호/신동엽/문순홍/홍기혁
|
|
|
Abstract
|
|
|
Lumbar epidural analgesia is a well established method for providing postoperative pain relief. Placement of a needle in the epidural space is probably one of the two technically demanding procedures performing by anesthesiologists.
Authors studied 589 patients who received epidural analgesia for postoperative pain control. The distnace to the epidural space from skin surface was measured by 18G Tuohy needle with marks at each 1cm from the tip. The mean distance was appeared
to be
3.92cm, which was correlated with other anatomic measurements, but it was varied with the lumbar inter-space measured. Most epidural spaces were identified at 3 to 5cm and 92.4% of the cases were less than 5cm.
This study suggests that if the epidural space has not been identified within a depth of 6cm, redirection or re-insertion of the needle should be considered.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|