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Comparison Between the Expected Site of Sacral Hiatus by Conventional Method and the Real Site by Ultrasonography for Caudal Block in Children

Completed
Conditions
Inguinal Herniorraphy
Interventions
Other: Ultrasonography
Registration Number
NCT01428271
Lead Sponsor
Yonsei University
Brief Summary

Caudal block is one of the most useful and popular regional block in pediatric anesthetic practice. Successful caudal block depends on the proper placement of a needle through sacral hiatus by following anatomical landmarks. The sacrum and the position of sacral hiatus are extreme variable anatomical structure. Generally, the equilateral triangle located between the apex of the sacral hiatus and posterior superior iliac spines is used in determining the location of the sacral hiatus as the conventional method. Previous study demonstrated that the triangle formed between the apex of the sacral hiatus and the posterior superior iliac spines was found to have the features of an equilateral triangle in adult. There is no study about the efficacy of the conventional method using the equilateral triangle in children. In this study, the investigators will compare between the expected site of sacral hiatus by conventional method using the equilateral triangle and the real site of the sacral hiatus confirmed by ultrasonography for caudal block in children.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Children aged 0-72 months
  • patient whho are scheduled to undergo elective inguinal herniorraphy under general anesthesia
Exclusion Criteria
  • The history of prematurity
  • he histories of the infection, tumor, and operation in sacrum 3. The history or suspicion of meningomyelocele

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Herniorrhapy with caudal blockUltrasonographyChildren aged 0-72 months who are scheduled to undergo elective inguinal herniorrhapy under general anesthesia with caudal block
Primary Outcome Measures
NameTimeMethod
the expected site of the sacral hiatus by convential methodapproximately 5 minutes after general anesthesia

1)The distance bewteen the midpoint of posterior superior iliac spines and the expected site of sacral hiatus by conventional method and 2)the distance between the midpoint of posterior superior iliac spines and the real site of sacral hiatus by ultrasonography.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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