Finding the ever elusive vertebral midline: does Mother know best?

When the spinous processes cannot be palpated, other clinical 'pearls' have been suggested such as drawing a line between the spine of the 7th cervical vertebra, which is generally prominent even in an obese patient, and the gluteal cleft [1]. [...]only 35% of the patients were queried. 3)...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2011-02, Vol.23 (1), p.1-2
Main Author: Beilin, Yaakov, MD
Format: Article
Language:English
Subjects:
Adult
Analgesia, Epidural - adverse effects
Analgesia, Obstetrical - adverse effects
Anesthesia
Anesthesia & Perioperative Care
Female
Humans
Hypotheses
Mothers
Needles
Nerve Block - adverse effects
Pain - etiology
Pain Medicine
Pregnancy
Women
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Summary:When the spinous processes cannot be palpated, other clinical 'pearls' have been suggested such as drawing a line between the spine of the 7th cervical vertebra, which is generally prominent even in an obese patient, and the gluteal cleft [1]. [...]only 35% of the patients were queried. 3) No confirmatory method was used to determine if the patient was correct or incorrect about where she thought the needle was placed; and 4) it is unclear how the anesthesiologist determined if patient input helped.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2010.06.003