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British Journal of Anaesthesia, 1991, Vol. 66, No. 3 381-382
© 1991 The Board of Management and Trustees of the British Journal of Anaesthesia

other

ACCURACY OF PLACEMENT OF EXTRADURAL NEEDLES IN THE L3-4 INTERSPACE: COMPARISON OF TWO METHODS OF IDENTIFYING L4

F. A. IEVINS, M.B., B.S., D.R.C.O.G., F.C.ANAES., D.E.A.A.

Avdelningsläkare, Anestesikliniken, Basenhet Operation, Centrallasarettet, 721 84 Västerås, Sweden
Present address: Anaesthetic Department, Dudley Road Hospital Birmingham

Address for correspondence: 89 Solihull Road, Shirley, Solihull, West Midlands B90 3HJ

The certainty with which the L3-4 vertebral interspace can be identified was investigated by studying 50 cadavers. These were allocated randomly to two groups, differing in the way in which the L4 spinous process was identified. Identification of L4 by physically constructing Tuffier's line on the subject led to an increase in the number of catheters sited at the correct level (P<0.01).


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