Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 348
- 试验地点
- 1
- 主要终点
- Definition Of Average Caudal Epidural Depth By Ultrasonography
研究概览
简要总结
Detailed study of ultrasonographic caudal epidural anatomy
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 1 Month 至 84 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Pediatric patients who applied for any pediatric surgery from 20 january to 20 july
排除标准
- •Premature patients
- •Patients who have any sendromic diagnosis
- •Patients who have any musculoskeletal abnormalities
- •Patients who have any spinal abnormalities
结局指标
主要结局
Definition Of Average Caudal Epidural Depth By Ultrasonography
时间窗: 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.
Definition Of Dural Sac Termination Level By Ultrasonography
时间窗: 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
时间窗: 5 minutes
Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view
次要结局
- Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography(5 minutes)