Journal of Anesthesia and SurgeryJournal of Anesthesia and SurgeryJournal of Anesthesia and SurgeryJournal of Anesthesia and Surgery2377-1364Ommega Online PublishersNew Jersey, USA187410.15436/2377-1364.18.1874Research ArticleComparision of Taylor’s Approach Vs Lumbar Approach for Below Unbilicus Surgeries in Cases of Patients with Deformed SpinesComparision of Taylor’s Approach Vs Lumbar Approach for Below Unbilicus Surgeries in Cases of Patients with Deformed SpinesUshaPatel1Department of Anaesthesia Medical College Dahod Gujarat2MPH candidate Class of 2018 Tennessee State UniversityEditor* E-mail: drpiyushpujara@gmail.com
The authors have declared that no competing interests exist.
20182205201851JAS-18-RA-187426042018160520182018Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp Background and Aim The paramedian technique was popular in patients with abnormal anatomy Taylor modified the paramedian technique Taylor rsquo s approach which is reliable and less traumatic alternative in deformed spine for establishing the subarachnoid block The present study was aimed to compare midline lumbar approach vs Taylor rsquo s approach in patients with deformed spine Materials and methods Total of 50 patients was included in the study had deformed spine with physical status I to III The study conducted randomized into two equal groups of anaesthetist A amp B Group A performed Taylor rsquo s approach as method of the subarachnoid block while Group B performed lumbar technique Level of decrease in blood pressure patient rated pain and satisfaction and success of neuraxial blockade compared Results The success rate of neuraxial blockade was found to be 94 patient satisfaction was 100 reduction in the incidence of hypotension in the Taylor rsquo s approach Conclusion Excellent operating conditions with less side effect is the benefit of subarachnoid anaesthesia however in patient with severe arthritis anatomical problems and with scoliosis there is challenging task to perform good subarachnoid block Taylor rsquo s approach could provide a reliable and less traumatic alternative to midline approach for lumber puncture in deformed spine 10