CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Comparison Of Ultrasound Versus Landmark Guided Insertion Of Combined Spinal Epidural In Total Hip Replacement/Total Knee Replacement Surgeries

Author: 
Dr. Arul Selvan, Dr. Yashpal Singh, Dr. Singh, D.K., Dr. Sarath Kumar, Dr. Siva Kumar, R. and Dr. Mohan
Subject Area: 
Life Sciences
Abstract: 

Background: Multiple attempts and needle redirection in a single attempt while performing combined spinal epidural anaesthesia are associated with a greater incidence of postdural puncture headache, paraesthesia, and spinal hematoma. We hypothesized that the routine use of a preprocedural ultrasound-guided combined spinal epidural anaesthesia would reduce the number of attempts and needle redirection in a single attempt when compared with the conventional landmark-guided combined spinal epidural anaesthesia. Methods: Sixty consenting patients scheduled for elective total joint replacements (hip and knee) were randomized into group U (Ultrasound guided technique) and group L (Landmark technique) with 30 in each group. In group L, combined spinal epidural was done via the midline approach using clinically palpated landmarks. In group U, a preprocedural ultrasound scan was used to mark the insertion site, and combined spinal epidural anaesthesia was performed. Results: The mean number of attempt was lower in Group U (1.06±0.25) than Group L (1.26±0.89) and p-value (0.039) was found to be significant. The mean total number of needle redirection in a single attempt were found to be lower in Group U (1.16±0.53) than Group L (1.60±0.89) and the p-value (0.027) was found to be significant. The mean value of time taken for identifying landmark for Group U (126.9±9.31) was higher than Group L (25±7.08) and p-value (<0.05) was found to be significant.The mean value of time taken for the procedure was higher in Group U (634.83±48.90) than Group L (458.93±41.15) and p-value (<0.05) was found to be significant. The mean periprocedural VAS score of pain and the demographic profile were comparable in both groups. Conclusion: Routine use of combined spinal epidural anaesthesia in the orthopaedic patient population undergoing joint replacement surgery, guided by preprocedural ultrasound examination, significantly decreases the number of attempts and needle redirection needed to enter the subarachnoid and epidural space.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran