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The Effect of Pregnancy and Posture on the Distance from Skin to Epidural Space

The Ewha Medical Journal 1996;19(4):521-525. Published online: July 24, 2015

Department of Anesthesiology, College of Medicine, Ewha Womans University, Korea.

Copyright © 1996. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    This study was performed to assess the factor affecting the distance from skinto epidural space.
  • Methods
    The distance from the skin to epidural space(DSES) was measured in 105 patients who received lumbar epidural anesthesia. The relationship between patient factors [age, weight, height, body mass index(BMI : weight/height2), pregnancy] and technical factor(posture) versus DSES was investigated using multiple regression analysis.
  • Results
    The mean DSES was 4.5±0.7cm. DSES correlated positively with weight and BMI in non-obstetrics(including male), and BMI in obstetrics. But, DSES did not correlated with posture.
  • Conclusion
    The patient's weight and BMI in non-obstetrics and BMI in obstetrics but posture during epidural needle placement are important factors influencing DSES.

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      Ihwa Ŭidae chi. 1996;19(4):521-525.   Published online July 24, 2015
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      Ihwa Ŭidae chi. 1996;19(4):521-525.   Published online July 24, 2015
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