Ultrasound measurement of the vertebral level of Tuffier's line in elderly women
BackgroundIt would be imprecise to generalize the vertebral level determined by palpation to patients of all ages. The purpose of this study was to compare the vertebral level passed by Tuffier's line in elderly women with that passed in adult women using ultrasound in the left lateral decubitu...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2016-10-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kjae-69-474.pdf |
| _version_ | 1818148963658760192 |
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| author | Eun Hee Chun Jee Eun Kim Dong Yeon Kim Youn Jin Kim Jong Hak Kim Rack Kyung Chung Jong In Han |
| author_facet | Eun Hee Chun Jee Eun Kim Dong Yeon Kim Youn Jin Kim Jong Hak Kim Rack Kyung Chung Jong In Han |
| author_sort | Eun Hee Chun |
| collection | DOAJ |
| description | BackgroundIt would be imprecise to generalize the vertebral level determined by palpation to patients of all ages. The purpose of this study was to compare the vertebral level passed by Tuffier's line in elderly women with that passed in adult women using ultrasound in the left lateral decubitus flexed position.MethodsWe enrolled 50 female patients over the age of 65 (elderly group) and 50 female patients between ages 20 and 50 (control group) who had been scheduled to undergo spinal anesthesia. Using ultrasound, we marked the L2–5 lumbar spinous processes and intervertebral spaces. The most cephalad part was labeled 1 and the most caudal part was labeled 11. We then identified which line of these vertebral levels Tuffier's line crossed.ResultsThe median value of the numbers signifying the vertebral level of Tuffier's line was 3 (the L2–3 intervertebral space) in the elderly group, while it was 8 (the lower part of the L4 vertebra) in the control group. The vertebral level of Tuffier's line had statistically significant correlations with age, body mass index, and weight in the elderly group (P < 0.001).ConclusionsThe vertebral level of Tuffier's line determined with ultrasound measurement in the left lateral decubitus flexed position was more cephalad in the elderly women than in those of the control group. Therefore, we should consider that the needle could be inserted at a higher level than expected, and use care in determining the level of needle insertion during spinal anesthesia in elderly women. |
| first_indexed | 2024-12-11T12:59:30Z |
| format | Article |
| id | doaj.art-834fce876c2f4422985de0966eabe084 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-11T12:59:30Z |
| publishDate | 2016-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-834fce876c2f4422985de0966eabe0842022-12-22T01:06:30ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-10-0169547447910.4097/kjae.2016.69.5.4748220Ultrasound measurement of the vertebral level of Tuffier's line in elderly womenEun Hee Chun0Jee Eun Kim1Dong Yeon Kim2Youn Jin Kim3Jong Hak Kim4Rack Kyung Chung5Jong In Han6Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea.BackgroundIt would be imprecise to generalize the vertebral level determined by palpation to patients of all ages. The purpose of this study was to compare the vertebral level passed by Tuffier's line in elderly women with that passed in adult women using ultrasound in the left lateral decubitus flexed position.MethodsWe enrolled 50 female patients over the age of 65 (elderly group) and 50 female patients between ages 20 and 50 (control group) who had been scheduled to undergo spinal anesthesia. Using ultrasound, we marked the L2–5 lumbar spinous processes and intervertebral spaces. The most cephalad part was labeled 1 and the most caudal part was labeled 11. We then identified which line of these vertebral levels Tuffier's line crossed.ResultsThe median value of the numbers signifying the vertebral level of Tuffier's line was 3 (the L2–3 intervertebral space) in the elderly group, while it was 8 (the lower part of the L4 vertebra) in the control group. The vertebral level of Tuffier's line had statistically significant correlations with age, body mass index, and weight in the elderly group (P < 0.001).ConclusionsThe vertebral level of Tuffier's line determined with ultrasound measurement in the left lateral decubitus flexed position was more cephalad in the elderly women than in those of the control group. Therefore, we should consider that the needle could be inserted at a higher level than expected, and use care in determining the level of needle insertion during spinal anesthesia in elderly women.http://ekja.org/upload/pdf/kjae-69-474.pdfgeriatricsspinal anesthesiaspineultrasonography |
| spellingShingle | Eun Hee Chun Jee Eun Kim Dong Yeon Kim Youn Jin Kim Jong Hak Kim Rack Kyung Chung Jong In Han Ultrasound measurement of the vertebral level of Tuffier's line in elderly women Korean Journal of Anesthesiology geriatrics spinal anesthesia spine ultrasonography |
| title | Ultrasound measurement of the vertebral level of Tuffier's line in elderly women |
| title_full | Ultrasound measurement of the vertebral level of Tuffier's line in elderly women |
| title_fullStr | Ultrasound measurement of the vertebral level of Tuffier's line in elderly women |
| title_full_unstemmed | Ultrasound measurement of the vertebral level of Tuffier's line in elderly women |
| title_short | Ultrasound measurement of the vertebral level of Tuffier's line in elderly women |
| title_sort | ultrasound measurement of the vertebral level of tuffier s line in elderly women |
| topic | geriatrics spinal anesthesia spine ultrasonography |
| url | http://ekja.org/upload/pdf/kjae-69-474.pdf |
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