Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

Istanbul University348 enrolled

Overview

Detailed study of ultrasonographic caudal epidural anatomy

Caudal epidural block is one of the most common methods to provide analgesia for an infraumbilical surgery in children. Although it can be carried out safely and easily, many complications have been described so far, because of inaccurate needle injections. To perform a successful block, a good caudal epidural anatomic assessment is essential. Ultrasonography is an important tool to perform pediatric regional blocks, including caudal blocks. We believe that caudal epidural ultrasound evaluation can be an important option to decrease complications and to achieve a successful attempt; due to that we will try to describe caudal epidural ultrasound imaging and changes from one month to 84 months.

Study Type

OBSERVATIONAL

Enrollment

348

Conditions

Anesthesia, Caudal Anatomy Ultrasonography Pediatrics

Interventions

Caudal Epidural UltrasonographyDIAGNOSTIC_TEST

Ultrasonographic Measurement

Eligibility

Sex: ALLMin age: 1 MonthMax age: 84 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Pediatric patients who applied for any pediatric surgery from 20 january to 20 july Exclusion Criteria: * Premature patients * Patients who have any sendromic diagnosis * Patients who have any musculoskeletal abnormalities * Patients who have any spinal abnormalities

Locations (1)

Cerrahpasa Medical Faculty

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Definition Of Dural Sac Termination Level By Ultrasonography

After general anesthesia, patient will be placed in lateral decubitus position. First, a 12 MHz lineer ultrasound transducer will be placed transversely to obtain the transverse view of sacral hiatus; in this view we will try to show two sacral cornua, sacrococcygeal ligament, posterior sacral bone and caudal epidural depth. Secondly, transducer will be turned parallel to the midline or paravertebral to obtain longitudinal view; in longitudinal view we will try to obtain the images of sacral vertebral corpuses, caudal epidural area and dural sac. We will try to determine the level of dural sac termination according to a part of vertabral corpus or an intervertebral distance.

Time frame: 5 minutes

Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle

Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view

Time frame: 5 minutes

Definition Of Average Caudal Epidural Depth By Ultrasonography

Definition of caudal epidural depth by ultrasonography will be obtained under transverse view for every patient and average value will be defined for every age group.

Time frame: 5 minutes

Secondary Outcomes

Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography

Sacral cornua will be palpated and than will be scanned under transverse ultrasound view. Also results will be compared.

Time frame: 5 minutes

Data from ClinicalTrials.gov

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