PMID: 11915069Mar 27, 2002Paper

Ultrasound imaging of the thoracic epidural space

Regional Anesthesia and Pain Medicine
T GrauJ Motsch

Abstract

In thoracic epidural anesthesia, the "loss of resistance" technique is the standard technique for the identification of the epidural space (EDS), the feedback to the operator is often solely tactile. Our aim was to establish ultrasonography for the prepuncture demonstration of the anatomic structures surrounding the thoracic EDS and to evaluate its precision and imaging quality. We examined 20 volunteers. In each participant, the extradural space and the neighboring anatomic landmarks in the intervertebral space Th 5-6 were identified using 2 imaging techniques: magnetic resonance imaging (MRI) and ultrasonography. We compared corresponding images regarding distance measurements and the visibility of anatomic landmarks. The capacity of ultrasound imaging (US) to depict the thoracic EDS was limited. Due to the better overview, MR images were easier to interpret. However, US proved to be of better value than MRI in the depiction of the dura mater. All important landmarks for the puncture of the thoracic EDS could be identified with both techniques. The overall correlation was satisfactory. US depicted the different structures of the thoracic EDS with an acceptable precision (confidence interval, 4.6 to 8.7 mm). US showed good cor...Continue Reading

Associated Clinical Trials

Sep 18, 2015·Georgios KotsovolisGeorgios Kotsovolis

References


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Citations

Dec 7, 2013·Surgical and Radiologic Anatomy : SRA·Jens KesslerThomas Grau
Mar 11, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Philip W H Peng, Ayman Rofaeel
Jun 24, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Abtin RasoulianRobert N Rohling
May 18, 2005·Journal of Clinical Anesthesia·Mir E Ali, Charles E Laurito
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Mar 21, 2009·Pain Practice : the Official Journal of World Institute of Pain·Pierre PandinLuc Barvais
Aug 17, 2005·Journal of Clinical Anesthesia·Hui-Chin LaiShu-Chuan Lee
Jun 22, 2005·Best Practice & Research. Clinical Anaesthesiology·Thomas Grau
May 13, 2015·Ultrasound in Medicine & Biology·Hedyeh Rafii-TariRobert Rohling
Jul 30, 2016·Physical Medicine and Rehabilitation Clinics of North America·Mark-Friedrich B Hurdle
Dec 17, 2015·Veterinary Anaesthesia and Analgesia·Jaime ViscasillasChristopher Seymour
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Jun 28, 2017·Anesthesia and Analgesia·Cristian Arzola
Sep 30, 2010·Korean journal of anesthesiology·Tomoki Nishiyama
Jun 24, 2003·Anesthesia and Analgesia·Scott A LangThomas Grau
Mar 20, 2018·Regional Anesthesia and Pain Medicine·Daniel J Pak, Amitabh Gulati
Oct 7, 2006·Current Opinion in Anaesthesiology·Xavier Sala-Blanch, Jose De Andrés
Mar 23, 2010·Regional Anesthesia and Pain Medicine·Anahi Perlas
Jan 23, 2018·Regional Anesthesia and Pain Medicine·Damon YuDavid Vu
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Jul 21, 2005·Paediatric Anaesthesia·Peter MarhoferStephan Kapral
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Jul 22, 2021·Anesthesia and Pain Medicine·Jong-Hyuk LeeWon Uk Koh

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