Lumbar Puncture in the prone position for Low Birth Weight Neonates

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Wanxu Guo ◽  
Di Ma ◽  
Min Qian ◽  
Xiaoqi Zhao ◽  
Jinpu Zhang ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Adverse Effects ◽  
Success Rate ◽  
Lumbar Puncture ◽  
Prone Position ◽  
Lateral Decubitus Position ◽  
Standard Position ◽  
Lateral Decubitus ◽  
Position Group

Abstract Background Lumbar puncture in the lateral decubitus position will make the neonates uncomfortable and is likely to cause position change and unstable vital signs, and the application of sedative drugs will cause adverse effects. This study explored a novel method for lumbar puncture in the prone position for low weight neonates. Methods The neonates were randomly assigned into the standard position group receiving lumbar puncture in the lateral decubitus position; and the improved position group receiving lumbar puncture in the prone position. The success rate of first time attempts and the overall success rate of lumbar puncture, incidence of adverse effects, NIAPAS scores were collected and compared between these two groups. The difference in success rate and adverse effects incidence rate was analysed through Chi-square. Student’s t-test was used for the test of NIAPAS rating. Results The improved position group had a higher success rate of first attempt and overall success rate, significantly lower incidence of adverse effect and lower NIAPAS scores than those of the standard position group (P<0.05). Conclusion This lumbar puncture in the prone position is safer, more effective, and more comfortable for preterm neonates and those with low birth weight. Thus, this method is worth of further promotion. Trial registration Registration number, ChiCTR2100049923; Date of Registration, August 11, 2021; Retrospectively registered.

RA04.01: PRONE POSITION IN THORACOSCOPIC ESOPHAGECTOMY IMPROVES POSTOPERATIVE OXYGENATION AND REDUCES PULMONARY COMPLICATIONS

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 24-25
Author(s):  
Yoshihiro Kakeji ◽  
Dai Otsubo ◽  
Gosuke Takiguchi ◽  
Taro Oshikiri ◽  
Tetsu Nakamura
Keyword(s):  
Pulmonary Function ◽  
Prone Position ◽  
Surgical Procedure ◽  
Body Position ◽  
Lateral Decubitus Position ◽  
Thoracoscopic Esophagectomy ◽  
Respiratory Complications ◽  
Left Lateral Decubitus Position ◽  
Lateral Decubitus ◽  
Position Group

Abstract Background While thoracoscopic esophagectomy is a widely performed surgical procedure, only few studies regarding the influence of body position on changes in circulation and breathing, after the surgery, have been reported. This study aimed at evaluating the effect of body position, during surgery, on the postoperative breathing functions of the chest. Methods A total of 266 patients who underwent right-sided transthoracic esophagectomy for esophageal cancer from 2004 to 2012 were included in this study. Fifty-four of them underwent open thoracotomies in the left lateral decubitus position (Group O), 108 underwent thoracoscopic esophagectomy in the left lateral decubitus position (Group L) and 104 patients were treated by thoracoscopic esophagectomy in the prone position (Group P). Two patients in Group P, who presented with intra-operative bleeding and underwent thoracotomy, were subsequently excluded from the pulmonary function analysis. Results Two patients in Group P had to be changed from the prone position to the lateral decubitus position and underwent thoracotomy in order to control intra-operative bleeding. Despite the significantly longer chest operation period in Group P, total blood loss was significantly lower in this group when compared to Groups O and L. Furthermore, patients in Group P presented with significantly lower water balance during the perioperative period and markedly higher SpO2/FiO2 ratio after the surgery. The incidence of respiratory complications was significantly higher in Group O when compared to the other two groups; however, no significant differences were observed between the Groups L and P. Conclusion From a surgical point of view, artificial pneumothorax and gravity improves the operative field view in the prone position without any compression of the right lung, thereby resulting in no mechanical damage to the lungs. Prone position esophagectomy is a useful surgical technique, which appears to preserve the postoperative pulmonary function. The patients are able to endure the surgical procedure and present with less respiratory complications. Disclosure All authors have declared no conflicts of interest.

Long-term consequences of birth weight and growth to weaning on carcass, yield and beef quality characteristics of Piedmontese- and Wagyu-sired cattle

2006 ◽  
Vol 46 (2) ◽  
pp. 257 ◽  
Author(s):  
P. L. Greenwood ◽  
L. M. Cafe ◽  
H. Hearnshaw ◽  
D. W. Hennessy ◽  
J. M. Thompson ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Adverse Effects ◽  
Quality Characteristics ◽  
Carcass Weight ◽  
High Birth Weight ◽  
Fetal Life ◽  
Beef Quality ◽  
Carcass Yield

Cattle sired by Piedmontese or Wagyu bulls were bred and grown within pasture-based nutritional systems followed by feedlot finishing. Effects of low (mean 28.6 kg, n = 120) and high (38.8 kg, n = 120) birth weight followed by slow (mean 554 g/day, n = 119) or rapid (875 g/day, n = 121) growth to weaning on carcass, yield and beef quality characteristics at about 30 months of age were examined. Low birth weight calves weighed 56 kg less at 30 months of age, had 32 kg lighter carcasses, and yielded 18 kg less retail beef compared with high birth weight calves. Composition of carcasses differed little due to birth weight when adjusted to an equivalent carcass weight (380 kg). Calves grown slowly to weaning were 40 kg lighter at 30 months of age compared with those grown rapidly to weaning. They had 25 kg smaller carcasses which yielded 12 kg less retail beef than their counterparts at 30 months of age, although at an equivalent carcass weight yielded 5 kg more retail beef and had 5 kg less fat trim. Neither low birth weight nor slow growth to weaning had adverse effects on beef quality measurements. No interactions between sire-genotype and birth weight, or growth to weaning, were evident for carcass, yield and beef quality traits. Although restricted growth during fetal life or from birth to weaning resulted in smaller animals that yield less meat at about 30 months of age, adverse effects on composition due to increased fatness, or on indices of beef quality, were not evident at this age or when data were adjusted to an equivalent carcass weight.

Adverse Effects of Early Dexamethasone Treatment in Extremely-Low-Birth-Weight Infants

2001 ◽  
Vol 344 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Ann R. Stark ◽  
Waldemar A. Carlo ◽  
Jon E. Tyson ◽  
Lu-Ann Papile ◽  
Linda L. Wright ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Adverse Effects ◽  
Extremely Low Birth Weight ◽  
Dexamethasone Treatment ◽  
Low Birth Weight Infants

Lateral decubitus digital subtraction myelography to identify spinal CSF–venous fistulas in spontaneous intracranial hypotension

2019 ◽  
Vol 31 (6) ◽  
pp. 902-905 ◽  
Author(s):  
Wouter I. Schievink ◽  
M. Marcel Maya ◽  
Franklin G. Moser ◽  
Ravi S. Prasad ◽  
Rachelle B. Cruz ◽  
...  
Keyword(s):  
Prone Position ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Lateral Decubitus Position ◽  
Csf Leak ◽  
Digital Subtraction ◽  
Spinal Imaging ◽  
Lateral Decubitus ◽  
Venous Fistula ◽  
Digital Subtraction Myelography

OBJECTIVESpontaneous spinal CSF–venous fistulas are a distinct type of spinal CSF leak recently described in patients with spontaneous intracranial hypotension (SIH). Using digital subtraction myelography (DSM) with the patient in the prone position, the authors have been able to demonstrate such fistulas in about one-fifth of patients with SIH in whom conventional spinal imaging (MRI or CT myelography) showed no evidence for a CSF leak (i.e., the presence of extradural CSF). The authors compared findings of DSM with patients in the lateral decubitus position versus the prone position and now report a significantly increased yield of identifying spinal CSF–venous fistulas with this modification of their imaging protocol.METHODSThe population consisted of 23 patients with SIH who underwent DSM in the lateral decubitus position and 26 patients with SIH who underwent DSM in the prone position. None of the patients had evidence of a CSF leak on conventional spinal imaging.RESULTSA CSF–venous fistula was demonstrated in 17 (74%) of the 23 patients who underwent DSM in the lateral decubitus position compared to 4 (15%) of the 26 patients who underwent DSM in the prone position (p < 0.0001). The mean age of these 16 women and 5 men was 52.5 years (range 36–66 years).CONCLUSIONSAmong SIH patients in whom conventional spinal imaging showed no evidence of a CSF leak, DSM in the lateral decubitus position demonstrated a CSF–venous fistula in about three-fourths of patients compared to only 15% of patients when the DSM was performed in the prone position, an approximately five-fold increase in the detection rate. Spinal CSF–venous fistulas are not rare among patients with SIH.

THE STUDY OF MATERNAL AND FETAL OUTCOME IN PREGNANT WOMEN WITH THYROID DISORDER: A PROSPECTIVE STUDY IN INDORE REGION

2021 ◽  
pp. 69-71
Author(s):  
Preeti Gupta ◽  
Manila Jain ◽  
Nand K Gupta ◽  
Umesh K Gupta
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Adverse Effects ◽  
Pregnant Women ◽  
Thyroid Dysfunction ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Disorder ◽  
Cross Sectional ◽  
Foetal Outcome ◽  
Nicu Admission

BACKGROUND: Thyroid disorder is very common disorders in pregnancy. It is well established that overt and subclinical thyroid dysfunction has adverse effects on mother and the foetus like miscarriages, preterm delivery, preeclampsia, eclampsia, polyhydramnios, placental abruption, postpartum haemorrhage, low birth weight, fetal distress, NICU admission. With this background, we are conducting a study to know the effect of thyroid disorder on pregnancy and its maternal and foetal outcome. METHODS: The present study was carried out in Index Medical College, Indore, MP, India in Department of physiology in collaboration with Department of Obstetrics & Gynecology. It is a prospective random cross-sectional study done over 180 pregnant women (90 pregnant women with thyroid disorder and 90 with normal thyroid) which includes known cases of thyroid disorder. Serum thyroid stimulating hormone (TSH), fT3, and fT4 tests were apart from the routine blood sample investigations as per FOGSI-ICOG good clinical practice recommendation. Patients are followed up till delivery, and their obstetrics and perinatal outcomes are noted. RESULTS: In our study prevalence of thyroid dysfunction was 10.4%. Out of these 90 patients with thyroid dysfunction, complications associated were pre-eclampsia (14.4%), abortions (13.3%), maternal anaemia (11.1%), preterm labour (7.8%), still birth (5.6%), abruption placenta (4.4%). Out of 90 patients with thyroid dysfunction, foetal complications seen were low birth weight (22.2%), NICU admission (15.6%), hyperbilirubinemia (14.4%) and foetal distress (5.6%). CONCLUSIONS: Our result demonstrated that the thyroid disorders during pregnancy have adverse effects on maternal and foetal outcome emphasizing the importance of routine antenatal thyroid screening.

Comparison of the perioperative outcome of esophagectomy by thoracoscopy in the prone position with that of thoracotomy in the lateral decubitus position

Surgery Today ◽  
2012 ◽  
Vol 43 (4) ◽  
pp. 386-391 ◽  
Author(s):  
Tomoaki Yatabe ◽  
Hiroyuki Kitagawa ◽  
Koichi Yamashita ◽  
Kazuhiro Hanazaki ◽  
Masataka Yokoyama
Keyword(s):  
Prone Position ◽  
Lateral Decubitus Position ◽  
Perioperative Outcome ◽  
Lateral Decubitus

scholarly journals The Prone Position Stabilized Respiration in an Extremely Low Birth Weight Infant with Periodic Respiration and Apnea: A Case Study

2017 ◽  
Vol 32 (3) ◽  
pp. 455-458
Author(s):  
Yuji HAMADA ◽  
Keiichi TAKEI ◽  
Yoshinori MORIOKA ◽  
Masayuki NONOGAKI ◽  
Megumi MOGI ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Prone Position ◽  
Extremely Low Birth Weight ◽  
Low Birth Weight Infant ◽  
Periodic Respiration

Location of the Femoral Nerve in the Lateral Decubitus Versus Prone Position

2021 ◽  
pp. 219256822110491
Author(s):  
Ram Alluri ◽  
Nicholas Clark ◽  
Evan Sheha ◽  
Karim Shafi ◽  
Matthew Geiselmann ◽  
...  
Keyword(s):  
Prone Position ◽  
Interbody Fusion ◽  
Femoral Nerve ◽  
Psoas Muscle ◽  
Lateral Decubitus Position ◽  
Lumbar Plexus ◽  
Lumbar Interbody Fusion ◽  
Posterior Edge ◽  
Disc Space ◽  
Lateral Decubitus

Study Design Cadaveric study. Objective To compare the position of the femoral nerve within the lumbar plexus at the L4-L5 disc space in the lateral decubitus vs prone position. Methods Seven lumbar plexus specimens were dissected and the femoral nerve within the psoas muscle was identified and marked with radiopaque paint. Lateral fluoroscopic images of the cadaveric specimens in the lateral decubitus vs prone position were obtained. The location of the radiopaque femoral nerve at the L4-L5 disc space was normalized as a percentage of the L5 vertebral body (0% indicates posterior location and 100% indicates anterior location at the L4-L5 disc space). The location of the femoral nerve at L4-L5 in the lateral decubitus vs prone position was compared using a paired t test. Results In the lateral decubitus position, the femoral nerve was located 28% anteriorly from the posterior edge of the L4-L5 disc space, and in the prone position, the femoral nerve was relatively more posterior, located 18% from the posterior edge of the L4-L5 disc space ( P = .037). Conclusions The femoral nerve was on average more posteriorly located at the L4-L5 disc space in the prone position compared to lateral decubitus. This more posterior location allows for a larger safe zone at the L4-L5 disc space, which may decrease the incidence of neurologic complications associated with Lateral lumbar interbody fusion in the prone vs lateral decubitus position; however, further studies are needed to evaluate this possible clinical correlation.

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