3,632
edits
Paediatric spinal anaesthesia: Difference between revisions
→ANATOMICAL CONSIDERATIONS
| Line 52: | Line 52: | ||
== ANATOMICAL CONSIDERATIONS == | == ANATOMICAL CONSIDERATIONS == | ||
A line connecting the top of the iliac crests crosses the spinal axis at the L5-S1 level in neonates and infants up to one year of age and at the L4-L5 level in older children.<ref name=":5" /><sup>,</sup> The spinal cord ends approximately at L3 level at birth and at L1-L2 level in children over one year old. | A line connecting the top of the iliac crests crosses the spinal axis at the L5-S1 level in neonates and infants up to one year of age and at the L4-L5 level in older children.<ref name=":5" /><sup>,</sup> The spinal cord ends approximately at L3 level at birth and at L1-L2 level in children over one year old. | ||
The distance between the skin and the subarachnoid space is influenced by age – from 10 to 15mm in newborns.10 The distance between skin and subarachnoid space can be related to height or weight using the formulae: | The distance between the skin and the subarachnoid space is influenced by age – from 10 to 15mm in newborns.<ref>10</ref><sup>,</sup> The distance between skin and subarachnoid space can be related to height or weight using the formulae: | ||
[[File:SpinalFormula.jpg|500x500|]] | [[File:SpinalFormula.jpg|500x500|]] | ||