Ultrasound Measured Epidural Depth for Midline Approach in Pediatric Patients With Scoliosis: Prospective Observational Study
Study Details
Study Description
Brief Summary
The purpose of this study was to
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investigate the degree of agreement between the ultrasound-measured depth (in the transverse median and paramedian sagittal oblique plane) and the actual depth to the epidural space in pediatric patients with scoliosis.
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investigate the quality of ultrasound view for detecting ligamentum flavum and dura mater.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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pediatric patients with scoliosis Patients aged 3-14 years with scoliosis and who request epidural analgesia |
Device: Ultrasound
Using ultrasound with transverse median and paramedian sagittal oblique approach, the screens that show the target epidural space in the center are obtained and stored for evaluation.
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Outcome Measures
Primary Outcome Measures
- the degree of agreement between the ultrasound-measured depth and the actual depth to the epidural space [Ultrasound image, which is obtained before epidural Touhy needle insertion, will be evaluated within 1 week after epidural Touhy needle insertion]
the degree of agreement between the ultrasound-measured depth (in the transverse median and paramedian sagittal oblique plane) and the actual depth to the epidural space in pediatric patients with scoliosis.
- the quality of ultrasound view for detecting ligamentum flavum and dura mater (in the transverse median and paramedian sagittal oblique plane) [Ultrasound image, which is obtained before epidural Touhy needle insertion, will be evaluated within 1 week after epidural Touhy needle insertion]
the quality of ultrasound view for detecting ligamentum flavum and dura mater (in the transverse median and paramedian sagittal oblique plane). Good: The distinction is clear and visible Fair: Visible by adjusting the probe Poor: Observation is difficult even when the probe is adjusted
Eligibility Criteria
Criteria
Inclusion Criteria:
- pediatric patients (aged 3-14 years) with scoliosis (cobb angle >10 degree) scheduled for correctional osteotomy of the lower extremity and requesting epidural analgesia for postoperative pain control
Exclusion Criteria:
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Contraindications to epidural analgesia (local infection, blood clotting disorder, anatomical abnormality, sepsis, etc.)
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If all of the parents of the subject are foreigners or illiterate (if the parents of the subject can not read the agreement)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Yonsei University Health System, Severance Hospital | Seoul | Korea, Republic of |
Sponsors and Collaborators
- Yonsei University
Investigators
- Principal Investigator: Hye Jin Kim, MD, Department of Anesthesiology and Pain Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 4-2021-0266