Evaluation of clinical effect of position pillows for neuraxial anesthesia
10.3760/cma.j.cn131073.20240222.00918
- VernacularTitle:椎管内麻醉体位摆放抱枕临床效果的评价
- Author:
Jing ZHANG
1
;
Jiechu WANG
;
Xinyan ZHU
;
Xiaoqing ZHANG
;
Dong WANG
;
Xueyao YU
;
Jinjin HUO
;
Zhukai CONG
;
Yi LIU
;
Wei LIU
;
Liyuan HAO
;
Li FAN
;
Xiaoxiao LI
Author Information
1. 北京大学第三医院麻醉科，北京 100191
- Keywords:
Anesthesia, epidural;
Anesthesia, spinal;
Posture
- From:
Chinese Journal of Anesthesiology
2024;44(9):1135-1138
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of the position pillows for neuraxial anesthesia.Methods:This was a prospective randomized controlled trial. Four hundred and twelve patients regardless of gender, aged ≥18 yr, of American Society of Anesthesiologists Physical Status classification Ⅰ-Ⅲ, who underwent elective surgery under neuraxial anesthesia at Peking University Third Hospital from February to October 2023, were selected and divided into 2 groups ( n=206 each) using a random number table method: pillow group (P group) and control group (C group). Group C underwent the conventional procedure for neuraxial anesthesia. The patients were placed in a position using the position pillow on the basis of oral education before routine anesthesia in group P. The success rate of puncture at first attempt, puncture time and position placement time were recorded. The adjustment of position, body movement and occurrence of discomfort during the puncture were also recorded. The visual analogue scale score was used to evaluate the level of anxiety before positioning, after positioning and after anesthesia. The visual analogue scale score was used to evaluate the patient′s comfort and the operator′s satisfaction with position after the anesthesia was completed. Results:Compared with group C, the time for positioning was significantly shortened, the anxiety level was decreased after positioning and after anesthesia, the rate of improvement in anxiety was increased, the scores for the patient′s comfort and the operator′s satisfaction with position were increased ( P<0.05), and no significant changes were found in the success rate of puncture at first attempt, puncture time and incidence of body movement during the puncture and incidence of the adjustment of position ( P>0.05). No discomfort was observed in either group during the puncture. Conclusions:This new type of position pillows for the neuraxial anesthesia can not only optimize the effect of position placement, but also improve the patients′ comfort.
