The relationship between body mass index (BMI) with the distance of the skin-epidural space in 3rd and 4th lumbar epidural anesthesia in nonobstetric surgery of Indonesian patient
| Format: | Book |
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| Terbitan: |
FK Universitas Gajah Mada Yogyakarta
, 2012
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| Subjects: | |
| Online Access: |
http://perpustakaan.litbang.depkes.go.id/ucs/index.php?p=show_detail&id=14388 |
Daftar Isi:
- Skin to epidural space distance varies in an insertion of epidural needie which can greatly affect the identification of the epidural space and epidural anesthesia complications. Therefore, a careful prediction of skin to epidural space distance is needed in doing insertions. The purpose of this study was to evaluate the relationship between body mass index (BMI) and the distance of skin to the epidural space in the 3rd - 4th lumbar epidural anesthesia in nonobstetric surgery of Indonesian patients. This was a prospective observational study with cross sectional design involving patients of both sexes between the age 18-65 years with ASA physical status I-II who underwent non obstetric surgery with 3rd-4th lumbar epidural anesthesia in Dr. Sardjito General Hospital, Yogyakarta and in Satellite Hospital. Weight, height and BMI were considered as the independent variables, whereas skin to epidural space distance was considered as dependent variable. Data were collected and analyzed using multiple regression analysis continued using Pearson's correlation test to evaluate the relationship between BMI and skin to epidural space distance. One hundred patients selected from October to December 2011 were evaluated in this study. The mean of weight, height and BMI were 57.35±11.59 kg, 155.98±5.88 cm and 23.52 ± 4.26 kg/m2, respectively. The mean of skin to epidural space distance of non obstetric surgery of Indonesian patients was 40.89 ± 9.95 mm. Multiple regression analysis show ed that BMI had a strongest relationship (r = 0.81; P < 0.03) with skin to epidural space distance compared to weigtft (r= 0.11; p=0.78) and height (r= 0.04; p
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