Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients
Study Details
Study Description
Brief Summary
Detailed study of ultrasonographic caudal epidural anatomy
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
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 Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Group I Caudal Epidural Ultrasonography will be performed in patients aged between 1-24 months |
Diagnostic Test: Caudal Epidural Ultrasonography
Ultrasonographic Measurement
|
| Group II Caudal Epidural Ultrasonography will be performed in patients aged between 25-48 months |
Diagnostic Test: Caudal Epidural Ultrasonography
Ultrasonographic Measurement
|
| Group III Caudal Epidural Ultrasonography will be performed in patients aged between 49-84 months |
Diagnostic Test: Caudal Epidural Ultrasonography
Ultrasonographic Measurement
|
Outcome Measures
Primary Outcome Measures
- Definition Of Dural Sac Termination Level By Ultrasonography [5 minutes]
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.
- Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle [5 minutes]
Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view
- Definition Of Average Caudal Epidural Depth By Ultrasonography [5 minutes]
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.
Secondary Outcome Measures
- Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography [5 minutes]
Sacral cornua will be palpated and than will be scanned under transverse ultrasound view. Also results will be compared.
Eligibility Criteria
Criteria
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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cerrahpasa Medical Faculty | Istanbul | Turkey | 34098 |
Sponsors and Collaborators
- Istanbul University
- Pinar Kendigelen
- Ayse Cigdem Tutuncu
- Guner Kaya
Investigators
- Principal Investigator: Celal Kaya, MD, Istanbul University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 72109855-604.01.01-103424