Does ultrasound guidance add accuracy to continuous caudal-epidural catheter placements in neonates and infants?

2017 ◽  
Vol 27 (10) ◽  
pp. 1010-1014 ◽  
Author(s):  
Vrushali C. Ponde ◽  
Vinit V. Bedekar ◽  
Ankit P. Desai ◽  
Kiran A. Puranik
Keyword(s):  
Epidural Catheter ◽  
Ultrasound Guidance ◽  
Neonates And Infants ◽  
Caudal Epidural

Thoracic caudal epidural catheter localization using ultrasound guidance

2020 ◽  
Vol 30 (2) ◽  
pp. 194-195
Author(s):  
Sarah A. Bachman ◽  
Andreas H. Taenzer
Keyword(s):  
Epidural Catheter ◽  
Ultrasound Guidance ◽  
Catheter Localization ◽  
Caudal Epidural

scholarly journals Ultrasound imaging versus palpation method for diagnostic lumbar puncture in neonates and infants: a systematic review and meta-analysis

2019 ◽  
Vol 3 (1) ◽  
pp. e000412 ◽  
Author(s):  
Abiola Olowoyeye ◽  
Opeyemi Fadahunsi ◽  
Jerome Okudo ◽  
Oluwakare Opaneye ◽  
Charles Okwundu
Keyword(s):  
Lumbar Puncture ◽  
Ultrasound Imaging ◽  
Risk Ratio ◽  
Ultrasound Guidance ◽  
Data Extraction ◽  
Meta Analysis ◽  
Study Selection ◽  
Registration Number ◽  
Diagnostic Lumbar Puncture ◽  
Neonates And Infants

ImportanceLumbar puncture (LP) failure rates vary and can be as high as 65%. Ultrasound guidance could increase the success of performing LP.ObjectiveTo summarise the evidence on the use of ultrasound guidance versus palpation method for LP.Data sourcesWe searched computerised databases and published indexes, registries and references identified from bibliographies of pertinent articles without any language restrictions to find studies that compared ultrasound guidance to palpation method for performing an LP.Study selectionStudies were included if they were randomised or quasirandomised trials in neonates and infants that compared ultrasound guidance with palpation method for performing an LP.Data extraction and synthesisStandardised data collection tool was used for data extraction, and two reviewers independently assessed the quality of the studiesMain outcome(s) and measure(s)The primary outcome was the risk of LP failure, while the risk of traumatic tap, needle redirections/reinsertions and procedure durations were secondary outcomesResultsData from four studies and 308 participants is included in the analysis. Ultrasound imaging reduced the risk of LP failure, risk ratio of 0.58 (95% CI 0.15 to 2.28), but it was not statistically significant (p=0.44). Ultrasound imaging significantly reduced the risk of a traumatic tap risk ratio of 0.33 (95% CI 0.13 to 0.82) and p=0.02. The included studies had low to moderate quality; the studies differed based on mean age and with variability on outcome definition.Conclusions and relevanceThis meta-analysis suggests that ultrasound imaging has no effect in increasing lumbar success but is beneficial in reducing the risk of traumatic taps in neonates and infants.Trial registration numberCRD42017055800.

scholarly journals The Use of Caudal/Epidural Catheter as the Primary Anesthetic with Dexmedetomidine Secondary to High Risk of Post-Operative Apnea in Premature Infants

2016 ◽  
Vol 06 (04) ◽  
pp. 63-66
Author(s):  
Joel Waring ◽  
Alyssa Lowenwirt ◽  
Miriam Flaum ◽  
Eduard Logvinskiy ◽  
Dennis E. Feierman
Keyword(s):  
High Risk ◽  
Epidural Catheter ◽  
Premature Infants ◽  
Caudal Epidural

Caudal Epidural Injection with a Guidewire-Reinforced Epidural Catheter in Patients with Herniated Nucleosus Pulpose

2006 ◽  
Vol 19 (2) ◽  
pp. 207 ◽  
Author(s):  
Justin Sangwook Ko ◽  
Seok Jin Lee ◽  
Hee Youn Hwang ◽  
Woo Seok Sim ◽  
Soo Joo Choi ◽  
...  
Keyword(s):  
Epidural Catheter ◽  
Epidural Injection ◽  
Caudal Epidural

Ultrasound Guidance in Caudal Epidural Needle Placement

2004 ◽  
Vol 101 (1) ◽  
pp. 181-184 ◽  
Author(s):  
Carl P. C. Chen ◽  
Simon F. T. Tang ◽  
Tsz-Ching Hsu ◽  
Wen-Chung Tsai ◽  
Hung-Pin Liu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Epidural Space ◽  
Ultrasound Guidance ◽  
Epidural Needle ◽  
Low Back ◽  
Needle Placement ◽  
Epidural Injections ◽  
Sacral Hiatus ◽  
Caudal Epidural

Background This study was conducted to investigate the feasibility of using ultrasound as an image tool to locate the sacral hiatus accurately for caudal epidural injections. Methods Between August 2002 and July 2003, 70 patients (39 male and 31 female patients) with low back pain and sciatica were studied. Soft tissue ultrasonography was performed to locate the sacral hiatus. A 21-gauge caudal epidural needle was inserted and guided by ultrasound to the sacral hiatus and into the caudal epidural space. Proper needle placement was confirmed by fluoroscopy. Results In all the recruited patients, the sacral hiatus was located accurately by ultrasound, and the caudal epidural needle was guided successfully to the sacral hiatus and into the caudal epidural space. There was 100% accuracy in caudal epidural needle placement into the caudal epidural space under ultrasound guidance as confirmed by contrast dye fluoroscopy. Conclusions Ultrasound is radiation free, is easy to use, and can provide real-time images in guiding the caudal epidural needle into the caudal epidural space. Ultrasound may therefore be used as an adjuvant tool in caudal needle placement.

Caudal Epidural Steroid Injection: Ultrasound

2016 ◽  
Author(s):  
Imanuel R. Lerman
Keyword(s):  
Ultrasound Guidance ◽  
Steroid Injection ◽  
Imaging Technique ◽  
Imaging Modality ◽  
Needle Insertion ◽  
Epidural Steroid Injection ◽  
Fluoroscopic Guidance ◽  
Sacral Hiatus ◽  
Epidural Steroid ◽  
Caudal Epidural

Ultrasound guidance can facilitate caudal epidural steroid injection by providing a clear view of the sacrum, the sacral hiatus, and the needle as it is advanced through the sacrococcygeal ligament into the sacral hiatus. Using ultrasound guidance for the initial needle insertion can eliminate the exposure of the physician and patient to ionizing radiation. However, the use of ultrasound guidance as a sole imaging technique for caudal epidural steroid injection does have disadvantages. Contrast fluoroscopic guidance is necessary to visualize the needle once it passes under the apex of the sacral hiatus to confirm that the needle tip is extradural and indeed extravascular. The use of ultrasound and fluoroscopic guidance takes advantage of each imaging modality to enhance the safety and accuracy of the caudal epidural steroid injection.

The Effectiveness of Ultrasound Guidance in Caudal Epidural Block

2013 ◽  
Vol 20 (4) ◽  
pp. 178 ◽  
Author(s):  
Heunguyn Jung ◽  
Dae Hee Kim ◽  
Seong Hun Jeon ◽  
Choong Young Kim ◽  
Jeong Seok Kim ◽  
...  
Keyword(s):  
Ultrasound Guidance ◽  
Epidural Block ◽  
Caudal Epidural Block ◽  
Caudal Epidural
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