Abstract

Background: The visualization of spinal anatomy plays a crucial role in the successful administration of spinal anesthesia. Spinal anatomy is better visualised with the aid of ultrasonography. The present study investigates whether ultrasonography can facilitate spinal anesthesia versus landmark approach in patients undergoing surgery under spinal anesthesia. Aims: To evaluate the success rates, compare needle passes, time taken to perform the procedure using each technique. Methods: This prospective randomised study was conducted in 100 American Society of Anesthesiologists (ASA) grade I-II patients, aged 18-60 years requiring CSE and randomly divided into two groups: Ultrasound-assisted (USG) group (n = 50) and surface landmark (SLG) group (n = 50). The primary outcome was to compare the first pass needle success rate to establish CSE and the secondary outcomes were to compare the number of needle puncture attempts, time to establish landmarks (t1), time to accomplish SA (t2).

Description