Concepedia

Surface Anatomy as a Guide to Vertebral Level for Thoracic Epidural Placement

Desiree A. Teoh, Kristi L. Santosham, Carmen C. Lydell, Dean F. Smith, Michael Beriault

Anesthesia & Analgesia · 2009 · 49 citations · 6 references

DOI

Abstract

For patients with a BMI <25, the T7 spinous process can be reliably identified to within one interspace in 78% of patients using the C7 (vertebra prominens) surface landmark. Neither the vertebra prominens nor the tip of scapula is a reliable landmark to identify T7 in patients with a BMI >or=25.

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