Title: Comparison of Taylor Approach vs Lumbar Approach of Spinal Anaesthesia in Terms of Difficulty to Perform in Patients Undergoing Transuretheral Resection of Prostate

Authors: Dr Kamini Randhawa, Dr Meenakshi Rana

 DOI: https://dx.doi.org/10.18535/jmscr/v9i6.17

Abstract

Taylor modified paramedian approach (Taylors approach) which is reliable and less traumatic alternative in difficult spine. The purpose of the present study was to compare taylor approach vs lumbar approach of spinal anaesthesia in terms of difficulty to perform in patients undergoing transuretheral resection of prostate. 30 patients (Group C) received SPA by a L4/5 approach and 30 patients by Taylor’s approach (Group T). Bupivacaine dose did not differ between groups. we observed total number of attempts in each group. The mean number of attempts per successful block in Group C and Group T was 1.13 ± 0.3 and 1.5 ± 0.6 respectively. The p value was 0.003 which was found to be statistically significant. (p value less than 0.005). So, taylors approach of spinal anesthesia is difficult to perform as compared to conventional approach and require expertise.

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Corresponding Author

Dr Meenakshi Rana

Junior Resident, Department of Obstetrics and Gynaecologist IGMC Shimla, India