Abstract :
Introduction: Spinal anaesthesia can be achieved either through the median or paramedian approach. The median approach may be technically difficult due to the exaggerated lumbar lordosis in pregnant patients. The paramedian approach is a useful technique in difficult or challenging situations like elderly and pregnant patients. The paramedian approach does not require the patient to fully reduce lumbar lordosis. A study was conducted on pregnant patients to evaluate the safety and efficacy of the paramedian approach.
Materials and Method: 100 parturients of ASA I-II who underwent caesarean delivery under spinal anaesthesia were divided into two groups:
a. Group M (n=50) received spinal block through median approach while Group PM (n=50) received through paramedian approach.
b. Number of attempts, success of the block, presence of paraesthesia, and the incidence of headache and lower backache were recorded in postoperative period.
c. The data was analysed by using chi-square and T-test where P
Keyword :
Caesarean delivery, Spinal anaesthesia, Median approach, Paramedian approach, PDPH.