PMID: 15220789Jun 29, 2004Paper

Ultrasound guidance in caudal epidural needle placement

Anesthesiology
Carl P C ChenHenry L Lew

Abstract

This study was conducted to investigate the feasibility of using ultrasound as an image tool to locate the sacral hiatus accurately for caudal epidural injections. Between August 2002 and July 2003, 70 patients (39 male and 31 female patients) with low back pain and sciatica were studied. Soft tissue ultrasonography was performed to locate the sacral hiatus. A 21-gauge caudal epidural needle was inserted and guided by ultrasound to the sacral hiatus and into the caudal epidural space. Proper needle placement was confirmed by fluoroscopy. In all the recruited patients, the sacral hiatus was located accurately by ultrasound, and the caudal epidural needle was guided successfully to the sacral hiatus and into the caudal epidural space. There was 100% accuracy in caudal epidural needle placement into the caudal epidural space under ultrasound guidance as confirmed by contrast dye fluoroscopy. Ultrasound is radiation free, is easy to use, and can provide real-time images in guiding the caudal epidural needle into the caudal epidural space. Ultrasound may therefore be used as an adjuvant tool in caudal needle placement.

Associated Clinical Trials

References

Aug 1, 1993·Anaesthesia and Intensive Care·S Y ChanE Thomas
May 1, 1993·Anesthesia and Analgesia·J P Guinard, M Borboen
Aug 12, 1999·Anesthesiology·B C TsuiR Kearney
Nov 29, 2002·Seminars in Roentgenology·John A Lippert, J Kevin McGraw

❮ Previous
Next ❯

Citations

Aug 17, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Andrew McLeodMary Fennelly
Jul 7, 2009·Surgical and Radiologic Anatomy : SRA·Anjali AggarwalDaisy Sahni
Jun 1, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Guy Barham, Andrew Hilton
Mar 25, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Shubada DuganiRoderick J Finlayson
Jun 23, 2005·International Anesthesiology Clinics·Andrew T Gray
Apr 6, 2013·Regional Anesthesia and Pain Medicine·Min-Soo KimJeong-Rim Lee
Dec 17, 2011·Anesthesiology Research and Practice·Maria BauerEhab Farag
Jan 1, 2008·Anesthesia and Analgesia·Donald SchwartzNeil Roy Connelly
Nov 20, 2009·Anesthesia and Analgesia·James Y Ko, Lisa R Leffert
Jul 1, 2012·Pain Management·Michael Gofeld, Kacey A Montgomery
Sep 28, 2010·Joint, Bone, Spine : Revue Du Rhumatisme·Anne BlanchaisYves Maugars
Apr 30, 2014·The Journal of Emergency Medicine·Stephen Kim, David K Adler
May 16, 2014·Journal of Anesthesia·Keita FukazawaMunetaka Hirose
May 8, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Chia-Shiang LinSamer Narouze
Nov 1, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Stephan LocherMichele Curatolo
Mar 20, 2010·Archives of Physical Medicine and Rehabilitation·Carl P ChenSimon F Tang
Oct 13, 2009·Annales Françaises D'anesthèsie Et De Rèanimation·C DadureX Capdevila
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Michael J DePalma, Curtis W Slipman
Oct 22, 2005·Paediatric Anaesthesia·Steven A RobertsIgnacio Galvez
Jul 29, 2009·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Anjali AggarwalDaisy Sahni
Mar 29, 2014·Paediatric Anaesthesia·David LeesSeyed Ali Mirjalili
Aug 11, 2015·American Journal of Physical Medicine & Rehabilitation·Carl P C ChenChih-Chin Hsu
Jul 28, 2006·Pain Physician·Laxmaiah ManchikantiGabor B Racz
Jan 20, 2015·Paediatric Anaesthesia·Seyed Ali MirjaliliSusan Craw
Apr 2, 2015·Saudi Journal of Anaesthesia·Brian SchlossJoseph D Tobias
Apr 1, 2010·Anesthesiology·Peter H Pan, Benjamin J Sintay
Jul 19, 2011·American Journal of Physical Medicine & Rehabilitation·Jeffery J MuirJonathan T Finnoff
Oct 23, 2015·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Gi-young ParkHee Kyung Cho
Mar 15, 2006·Current Opinion in Anaesthesiology·Ban C H Tsui, Charles B Berde
Aug 17, 2011·American Journal of Physical Medicine & Rehabilitation·Carl P C ChenChih-Chin Hsu
Feb 26, 2005·Anesthesiology·Reginald Edward

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.