Elevated Lateral Position Improves the Success of Paramedian Approach Subarachnoid Puncture in Spinal Anesthesia before Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Study

Wenchao Zhang; Tianlong Wang; Geng Wang; Yi Yuan; Yan Zhou; Xiaoyu Yang; Minghui Yang; Shaoqiang Zheng

doi:10.12659/MSM.923813

06 August 2020 : Clinical Research

Elevated Lateral Position Improves the Success of Paramedian Approach Subarachnoid Puncture in Spinal Anesthesia before Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Study

Wenchao Zhang^1AE, Tianlong Wang^2AF, Geng Wang^1AE*, Yi Yuan^1D, Yan Zhou^1BC, Xiaoyu Yang^1BC, Minghui Yang^3AF, Shaoqiang Zheng^1BC

DOI: 10.12659/MSM.923813

Med Sci Monit 2020; 26:e923813

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Table 5 Ultrasound imaging quality.

	Experimental (ELP)N=45	Control (LRP)N=45	P-value
PSO, n (%)
Good	36 (80.00)	33 (73.33)	0.701
Intermediate	8 (17.78)	10 (22.22)
Poor	1 (2.22)	2 (4.44)
TM, n (%)
Good	38 (84.44)	33 (73.33)	0.454
Intermediate	6 (13.33)	10 (22.22)
Poor	1 (2.22)	2 (4.44)
ELP – up-tilted lateral recumbent position with head and chest elevated 30°; LRP – lateral recumbent position; PSO – paramedian sagittal oblique; TM – transverse median view.

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Elevated Lateral Position Improves the Success of Paramedian Approach Subarachnoid Puncture in Spinal Anesthesia before Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Study

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