Ultrasound Guided Investigation Of The Anatomical Features For Caudal Block In Children With Sacral Dimple

Not Applicable

Completed

• Conditions: Sacrococcygeal Disorder

• Registration Number: NCT04861935
• Lead Sponsor: Istanbul University

Brief Summary

When dimples are detected in the sacral region, most practitioners consider it to be a sign of spinal anomaly and avoid caudal block. Ultrasound guided investigation of the anatomical features for caudal block in normal children and in children with sacral dimple will be informative for practitioners.

Detailed Description

A dimple over the sacrum may be an isolated finding or a sign of underlying spinal abnormality. Therefore, most practitioners are confused to perform a caudal block. Ultrasonography is a safe and cost effective screening tool in pediatric patients. Ultrasound guided investigation of the anatomical features of sacral region may play a key role to eliminate suspicions. It is possible to detect spinal abnormalities and also measuring dural sac level, distance between dural sac and estimated needle insertion site or needle entry angle. In this study, we will examine whether there is a difference between normal children and children with dimple in the sacral region.

Study Timeline

• Study First Submitted: 2021-04-19
• Study First Submitted QC: 2021-04-24
• Study First Posted: 2021-04-27
• Study Start: 2022-11-11
• Status Verified: 2023-02
• Primary Completion: 2023-02-11
• Study Completion: 2023-02-11
• Last Update Submitted: 2023-02-23
• Last Update Posted: 2023-02-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

-Children aged 1-72 months who are taken to the operating room for any reason

Exclusion Criteria

Patients with

• spinal anomalies,
• history of prematurity,
• neurological disorder
• syndromic illness.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
ultrasound measurement-1	1 min	Dural sac level (mm)
ultrasound measurement-2	1 min	distance between injection site and dural sac(mm)
ultrasound measurement-3	1 min	optimal entry angle (0-angle degree) for caudal block

Secondary Outcome Measures

Name	Time	Method
ultrasound evaluation of sacral region	10 minutes	searching for spinal abnormalites in patients with sacral dimple

Trial Locations

Locations (1)

Istanbul University Cerrahpasa; 🇹🇷 Istanbul, Turkey