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06 August 2020: Clinical Research

Elevated Lateral Position Improves the Success of Paramedian Approach Subarachnoid Puncture in Spinal Anesthesia before Hip Fracture Surgery in Elderly Patients: A Randomized Controlled Study

Wenchao Zhang 1AE , Tianlong Wang 2AF , Geng Wang 1AE* , Yi Yuan 1D , Yan Zhou 1BC , Xiaoyu Yang 1BC , Minghui Yang 3AF , Shaoqiang Zheng 1BC

DOI: 10.12659/MSM.923813

Med Sci Monit 2020; 26:e923813

Table 1 Baseline characteristics of patients.

CharacteristicsExperimental (ELP)N=45Control (LRP)N=45t/χ2P-value
Age (years)80.6±7.379.7±7.20.5700.570
Weight (kg)62.2±4.962.7±5.4−0.2740.785
Height (cm)164.4±8.1164.8±8.0−0.4270.671
BMI (kg/m)23.2±2.623.1±2.10.0540.957
Gender
 Male10 (22.22)10 (22.22)0.0001.000
 Female35 (77.78)35 (77.78)
Type of fracture
 Femoral fracture31 (68.89)29 (64.44)0.2000.655
 Intertrochanteric fractures14 (31.11)16 (35.56)
Type of surgery
 Intramedullary nail internal fixation31 (68.89)29 (64.44)0.627
 Hollow nail internal fixation6 (13.33)9 (20.00)
 Total hip replacement0 (0.00)1 (2.22)
 Half hip replacement8 (8.89)6 (13.33)
ASA
 I4 (8.89)2 (4.44)0.756
 II26 (57.78)26 (57.78)
 III15 (33.33)17 (37.78)
ELP – elevated lateral position with head and chest elevated 30°; LRP – lateral recumbent position; BMI – body mass index; ASA – American Society of Anesthesiologist.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750