高手术台有利于在进行脊椎麻醉时获得更优的进针角度和减轻不适感。
Higher Operating Table for Optimal Needle-Entry Angle and Less Discomfort During Spinal Anesthesia.
机构信息
From the Department of Anesthesiology and Pain Medicine.
Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Gyeonggi-do, Republic of Korea.
出版信息
Anesth Analg. 2018 Apr;126(4):1349-1352. doi: 10.1213/ANE.0000000000002534.
The aim of this study was to find the optimal table height to facilitate insertion of the spinal needle at a 90° angle and to reduce the anesthesiologist's discomfort. Sixty patients were randomly allocated according to landmarks on the anesthesiologist's body: umbilicus (group U), lowest rib margin (R), xiphoid process (X), and nipple (N). The coronal insertion angle between the patient's skin and the spinal needle was obtuse in groups U and R, and 90° in group X. We demonstrated that high operating tables at the xiphoid and nipple level facilitate more optimal needle entry angles while reducing the discomfort and joint flexion of anesthesiologists during spinal anesthesia.
本研究旨在找到最佳的台面高度，以便以 90°角插入脊柱针，并减少麻醉师的不适。根据麻醉师身体上的标志，将 60 名患者随机分配：脐（U 组）、最低肋缘（R 组）、剑突（X 组）和乳头（N 组）。在 U 组和 R 组中，患者皮肤和脊柱针之间的冠状插入角度是钝角，而在 X 组中则为 90°。我们证明，在剑突和乳头水平使用高手术台可更方便地进入针，同时减少麻醉师在脊髓麻醉期间的不适感和关节弯曲。
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