SCIENCE & INNOVATION

SPINAL ANESTHESIA UNDER ULTRASONIC CONTROL

29.04.2024 International Scientific Journal "Science and Innovation". Series D. Volume 3 Issue 4

Satvaldieva E.A., Shakarova M.U., Mitryushkina V.A., Mamatkulov I.B.

Abstract. Spinal anesthesia in children has many potential benefits. However, performing spinal anesthesia in children, especially infants, has certain technical difficulties. For more than a century, the technique of performing spinal anesthesia has been based on landmarks and has not changed for many years. Advances in ultrasound technology may provide an opportunity to improve spinal procedures in infants. But the traditional approach in some cases may not be reliable because these surface landmarks may be absent, unclear, or distorted in the presence of obesity, previous spinal surgery, deformities, or degenerative changes. Manual palpation may be inaccurate, and placement of the needle at or above the level of the conus medullaris can lead to complications, including neurological injury. Although rare, spinal cord injury resulting from direct needle trauma or intramedullary injection of local anesthetic can be potentially fatal. Ultrasonography makes it possible to more accurately select the appropriate intervertebral space for spinal anesthesia, reduce the technical complexity of neuraxial blockade, and minimize the number of attempts at lumbar puncture. Multiple attempts at needle insertion may increase the risk of complications such as post-puncture headache and back pain

Keywords: ultrasound imaging, spinal anesthesia, central neuraxial blocks, local anesthetics, childhood, regional anesthesia