ArticleThe Korean journal of pain2015
A Comparison of Two Techniques for Ultrasound-guided Caudal Injection: The Influence of the Depth of the Inserted Needle on Caudal Block.
Article in The Korean journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03345511 (Ultrasound Guided Analgesic Caudal Block in Anal Canal Surgery), which is not on this map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Ultrasound Guided Analgesic Caudal Block in Anal Canal Surgery
Who cites it
15 citing papers in PubMed, 31 citations in OpenAlex.
- Trial
- The influence of epidural catheter on the incidence of intravascular injection during caudal block.Skeletal radiology · 2017Trial
- Article
- Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan.The Korean journal of pain · 2024Article
- Transverse plane ultrasound-guided caudal epidural injections: sonographic anatomy and stepwise technique.Surgical and radiologic anatomy : SRA · 2021Article
- Prediction of successful caudal epidural injection using color Doppler ultrasonography in the paramedian sagittal oblique view of the lumbosacral spine.The Korean journal of pain · 2021Article
- The Influence of Ultrasound-Guided Technique Using a Catheter-Over-Needle on the Incidence of Accidental Intravascular Injection during Caudal Block-A Retrospective Case Series Study.Medicina (Kaunas, Lithuania) · 2021Article
- Ultrasound-guided epidural block in axial spondyloarthritis patients with limited spine mobility: a randomized controlled trial.The Korean journal of pain · 2021Article
- Analysis of caudal epidurogram in single center: A preliminary study of lumbar radiculopathy management.Medicine · 2018Observational
- Influence of needle-insertion depth on epidural spread and clinical outcomes in caudal epidural injections: a randomized clinical trial.Journal of pain research · 2018Article
- Vertical Small-Needle Caudal Epidural Injection Technique.Anesthesiology and pain medicine · 2016Article
- Ultrasound Guided Technique for the Caudal Epidural Injection.The Korean journal of pain · 2015Article
- Anaphylactic Shock Following Nonionic Contrast Medium during Caudal Epidural Injection.The Korean journal of pain · 2015Article
- A randomized double-blinded controlled trial comparing ultrasound-guided versus conventional injection for caudal block in children undergoing infra-umbilical surgeries.Journal of anaesthesiology, clinical pharmacologyArticle
- Ultrasound-Guided Caudal Epidural Anesthesia in Adults for Anorectal Procedures.Anesthesia, essays and researchesArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCaudal epidural injections have been commonly performed in patients with low back pain and radiculopathy. Although caudal injection has generally been accepted as a safe procedure, serious complications such as inadvertent intravascular injection and dural puncture can occur. The present prospective study was designed to investigate the influence of the depth of the inserted needle on the success rate of caudal epidural blocks.
methodsA total of 49 adults scheduled to receive caudal epidural injections were randomly divided into 2 groups: Group 1 to receive the caudal injection through a conventional method, i.e., caudal injection after advancement of the needle 1 cm into the sacral canal (n = 25), and Group 2 to receive the injection through a new method, i.e., injection right after penetrating the sacrococcygeal ligament (n = 24). Ultrasound was used to identify the sacral hiatus and to achieve accurate needle placement according to the allocated groups. Contrast dyed fluoroscopy was obtained to evaluate the epidural spread of injected materials and to monitor the possible complications.
resultsThe success rates of the caudal injections were 68.0% in Group 1 and 95.8% in Group 2 (P = 0.023). The incidences of intravascular injections were 24.0% in Group 1 and 0% in Group 2 (P = 0.022). No intrathecal injection was found in either of the two groups.
conclusionsThe new caudal epidural injection technique tested in this study is a reliable alternative, with a higher success rate and lower risk of accidental intravascular injection than the conventional technique.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.