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The Effects of Shoulder Rotation on the Acoustic Window for Thoracic Paramedian Epidural Approach in the Lateral Decubitus Position

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dc.contributor.author변효진-
dc.date.accessioned2017-10-26T07:42:23Z-
dc.date.available2017-10-26T07:42:23Z-
dc.date.issued2016-
dc.identifier.issn1098-7339-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152403-
dc.description.abstractBACKGROUND AND OBJECTIVES: The aim of this study was to examine whether shoulder rotation increases the length of the posterior longitudinal ligament (PLL) in the lateral decubitus position. METHODS: Thirty-four adult male volunteers were placed in the right or left lateral decubitus and flexion position on a horizontal operating table. Thoracic spinal ultrasonography was performed using the paramedian oblique sagittal plane to obtain the optimal ultrasound view for the PLL on the dependent side. The lengths of the PLL were measured at the T6/7 and T9/10 interspaces before and after ipsilateral 30-degree shoulder rotation. RESULTS: In the right lateral decubitus position, the ipsilateral shoulder rotation increased the mean (SD) of the PLL from 7.4 (2.8) to 8.4 (2.6) mm (P = 0.006) at the T6/7 level and from 8.4 (2.9) to 10.6 (2.8) mm (P < 0.0001) at the T9/10 level. Similarly, in the left lateral decubitus position, the ipsilateral shoulder rotation increased the mean (SD) of the PLL from 8.0 (2.6) to 9.1 (2.6) mm (P = 0.001) at the T6/7 level and from 9.3 (2.8) to 11.8 (3.1) mm (P < 0.0001) at the T9/10 level. CONCLUSIONS: Shoulder rotation significantly increased the dimension of the acoustic target window for paramedian thoracic epidural access in the lateral decubitus position at both T6/7 and T9/10 levels. Further clinical studies are needed to investigate the effect of shoulder rotation on thoracic epidural access.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfREGIONAL ANESTHESIA AND PAIN MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAnalgesia, Epidural/methods*-
dc.subject.MESHAnatomic Landmarks-
dc.subject.MESHBiomechanical Phenomena-
dc.subject.MESHHumans-
dc.subject.MESHLongitudinal Ligaments/anatomy & histology-
dc.subject.MESHLongitudinal Ligaments/diagnostic imaging*-
dc.subject.MESHMale-
dc.subject.MESHNerve Block/methods*-
dc.subject.MESHPatient Positioning*-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHRange of Motion, Articular-
dc.subject.MESHShoulder/anatomy & histology-
dc.subject.MESHShoulder/diagnostic imaging*-
dc.subject.MESHShoulder/physiopathology-
dc.subject.MESHUltrasonography*-
dc.titleThe Effects of Shoulder Rotation on the Acoustic Window for Thoracic Paramedian Epidural Approach in the Lateral Decubitus Position-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine-
dc.contributor.googleauthorByon, Hyo-Jin-
dc.contributor.googleauthorSong, Jang-Ho-
dc.contributor.googleauthorSong, Kyung-Chul-
dc.contributor.googleauthorLim, Hyunkeun-
dc.contributor.googleauthorKim, Hyunzu-
dc.identifier.doi10.1097/AAP.0000000000000440-
dc.contributor.localIdA01863-
dc.relation.journalcodeJ02601-
dc.identifier.eissn1532-8651-
dc.identifier.pmid27465363-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00115550-201609000-00004&LSLINK=80&D=ovft-
dc.contributor.alternativeNameByon, Hyo Jin-
dc.contributor.affiliatedAuthorByon, Hyo Jin-
dc.citation.volume41-
dc.citation.number5-
dc.citation.startPage572-
dc.citation.endPage575-
dc.identifier.bibliographicCitationREGIONAL ANESTHESIA AND PAIN MEDICINE, Vol.41(5) : 572-575, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid48610-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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