Predicting Factors of Difficult Spinal Anesthesia in Patients undergoing Cesarean Section

Abstract

In this study, the predictive anatomical factors for the difficulty of spinal anesthesia in patients undergoing cesarean section were investigated. Materials and methods: A total of 110 pregnant women, single-stranded, aged 18-40 years old and class I with ASA II who were candidates for elective cesarean section with spinal anesthesia were studied. Before performing spinal anesthesia, demographic information, body appearance, ability to bend the back of the patient and recorded and in the position of the anatomical landmarks of the lumbar spine, based on the observation and touch of the spinal cord, the presence or absence of deformity in the spinal column Lumbar was graded by observing and touching the sprouts and intervertebral spacing based on observation and touch of intervertebral space. To assess the difficulty of performing spinal anesthesia techniques, the number of needle movements, the number of attempts in the same space or in the intervertebral space, the number of needles used the same size or size, the use of the paramedic method, and finally the inability to perform the block at 7 degrees (0-6) the scores were evaluated and the results were analized in spss version 15. Results: The correlation coefficient between age (0.226), weight (0.291), height (0.035), body mass index (0.361), duration of spinal anesthesia (0.566), general appearance of the body (0.211), the ability to bend the waist (0,276), anatomic signs (0.328), the distance between the vertebrae (0.337) and the severity of spinal anesthesia, except for the height of all variables in the correlation tests P You had For all variables a sequential logistic test was performed.