ArticleIndian journal of anaesthesia2021
Correlation of correct needle placement in caudal epidural space and anatomical structures of sacral canal in paediatric patients: An observational study.
Article in Indian journal of anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 2 citations in OpenAlex.
- Advancing, strengthening and reshaping obstetric critical care with Point-of-Care Ultrasound (POCUS).Indian journal of anaesthesia · 2021Article
- Correlation of preprocedural ultrasound estimated epidural depths in transverse median and posterior sagittal oblique view and body mass index with procedural epidural depths in patients scheduled for surgery under lumbar epidural anaesthesia.Indian journal of anaesthesia · 2021Article
- Perception-performance gap in trainee-performed pediatric caudal epidural block: Ultrasound verification of accuracy and clinical success.Saudi journal of anaesthesiaArticle
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
BACKGROUND AND
aimsCaudal epidural block (CEB) is commonly performed using surface landmark-based technique in the paediatric patients, with a good success rate. Failure to perform CEB is usually attributable to anatomic variations. The aim of this study was to perform measurements of the anatomical landmarks that are generally used to perform CEB and find a relation between these measurements and successful needle placement.
methodsThis was an observational study that included 114 patients, aged up to 15 years. Ultrasonography (USG) scan of the sacrococcygeal region with measurement of cornu height, skin to cornu distance, inter-cornu distance (ICD), vertical and oblique size of hiatus were done. Needle placement for CEB was done using the usual palpatory hiatal approach. Needle position was checked by using ultrasound. Spearman correlation coefficient and multi-variate logistic regression were used for measuring the correlation and predictors of correct needle placement, respectively.
resultsCorrect placement of needle was found in 84% patients. Statistically significant correlation was found between all the anatomical parameters. Regression analysis revealed that only ICD had a statistically significant contribution (OR1.67, 95% CI 1.024-2.7;
conclusionICD can be used as predictor of difficult needle placement for CEB. USG guidance may be of help while performing CEB in children less than 1.5 years.
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