Jun 13, 2017 · An alternative method to the traditional lumbar puncture is the paramedian approach. Although scarce in the emergency medicine literature, it has been a successful option that has been …

Sep 13, 2018 · If the patient has a calcified interspinous ligament or difficulty in flexing the spine, a paramedian approach to achieve spinal anesthesia can be utilized. The patient can be in any …

Dec 26, 2025 · Learn the paramedian approach for lumbar puncture, including landmarks, needle angles, and when this spinal tap technique improves success in challenging anatomy.

The present study seeks to conduct a comparative evaluation of the paramedian and modified paramedian approaches, with a focus on procedural efficiency and patient satisfaction, and the …

In this video, Dr. Hadzic demonstrates the paramedian approach to spinal anesthesia in a patient scheduled for hip replacement surgery.

Jul 1, 2024 · We describe a novel, ultrasound-guided paramedian approach which was successfully performed in the Emergency Department setting for lumbar puncture. Physicians should consider …

Sep 29, 2025 · An ultrasound-assisted paramedian (USPM) approach to lumbar puncture (LP) was associated with a higher level of success, and fewer referrals to radiology for failed LP.

Describe the technical performance and patient-centred benefits of the paraspinous approach to lumbar neuraxial anaesthesia. Discuss the application of spinal ultrasound imaging to the paraspinous …

A schematic representation depicts the skin insertion site (filled black circle) recommended for a paramedian approach. It is 1.2 cm lateral to the superior tip of the T6 SP at T6-7 and 1.2 cm lateral …

Landmark-guided spinal anesthesia can be performed using midline, paramedian, or lumbosacral approaches [1]. The paramedian approach is preferred in elderly patients because of degenerative …