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2022, Number 2

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Acta Med 2022; 20 (2)

A proposed anthropometric formula to predict the distance from the skin to the peridural space in neuroaxial blockade

Pérez GMB, Huitron MA, Valera RY, Flores AG, Nava AA, Cañas LL, Ahité GJM
Full text How to cite this article 10.35366/104273

DOI

DOI: 10.35366/104273
URL: https://dx.doi.org/10.35366/104273

Language: Spanish
References: 6
Page: 132-136
PDF size: 234.19 Kb.


Key words:

Peridural space, peridural anesthesia, ultrasound, anthropometry.

ABSTRACT

To have a predictive formula for the skin-peridural space distance (S-PD), 92 people were studied in a cross-sectional study. In all of them, the S-PD was estimated through an ultrasound study. The anthropometric measurements consisted of weight (kg), waist circumference (cm), body mass index (BMI), coupled with age (years) and sex. Employing multiple linear regression, it was determined that with weight, waist circumference, BMI, and sex, the S-PD could be estimated with a prediction of 94.5% b (95% CI: 93.2 to 97.9%) a difference of ± 5 mm of the ultrasound measure (Bland-Altman); R2 = 0.82, p < 0.0001. Conclusion: With the formula epidural distance (mm) = [(waist-circumference (cm) × 0.27 + BMI × 0.47)] - (16.38 + 3.55 [if male]) the skin-epidural space distance can be estimated without the need for ultrasound measurement.


REFERENCES

  1. Ayón-Villanueva H, Rivera-Ordoñez A, Guajardo-Rosas J, Juárez-Lemus Á, Chejne-Gómez F, Ramos-Alanís A. Esquemas de analgesia epidural para bombas de infusión. Rev Mex Anest. 2017; 40 (S1): 207-209.

  2. Whizar-Lugo V. La cavidad epidural. Anest Mex. 2004; 16 (3):142-144.

  3. Sahota JS, Carvalho JC, Balki M, Fanning N, Arzola C. Ultrasound estimates for midline epidural punctures in the obese parturient: paramedian sagittal oblique is comparable to transverse median plane. Anest & Analg. 2013; 116 (4): 829-835.

  4. Degiovanni JC, Chaves A, Moyano J, Raffán F. Incidencia de complicaciones en anestesia regional, análisis en un hospital universitario. Estudio de Corte Transversal. Rev Colomb Anestesiol. 2006; 34 (3); 155-162.

  5. Carrillo-Esper R, Nava-López JA, Galván-Talamantes Y, Muñoz-García A, Hernández-Arias JJ, Hernández-Ramírez O et al. Medición de la distancia de la piel al espacio epidural por ultrasonografía y su correlación interobservador. Rev Mex Anest. 2016; 39 (5): 117-121.

  6. Canturk M, Karbancioglu Canturk F, Kocaoglu N, Hakki M. Abdominal girth has a strong correlation with ultrasound-estimated epidural depth in parturients: a prospective observational study. J Anesth. 2019; 33 (2): 273-278.




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C?MO CITAR (Vancouver)

Acta Med. 2022;20