Indirect sonographic guidance for epidural anesthesia in obese pregnant patients.

@article{Wallace1992IndirectSG,
  title={Indirect sonographic guidance for epidural anesthesia in obese pregnant patients.},
  author={Donald H. Wallace and Jenny M Currie and Larry C. Gilstrap and R. C. Stocco dos Santos},
  journal={Regional anesthesia},
  year={1992},
  volume={17 4},
  pages={233-6}
}
BACKGROUND AND OBJECTIVES Obesity and edema frequently obscure anatomic landmarks and result in technical difficulties during epidural anesthesia administration. However, the method of indirect sonographic guidance permits identification of the midline by sagittal scan of the laminae of lumbar vertebrae 2, 3, and 4. METHODS Thirty-six obese women scheduled for elective repeat cesarean delivery were prospectively studied. Use of a 5-MHz transducer positioned with the transducer center site… CONTINUE READING