Thoracic caudal epidural catheter localization using ultrasound guidance

2020 ◽  
Vol 30 (2) ◽  
pp. 194-195
Author(s):  
Sarah A. Bachman ◽  
Andreas H. Taenzer
2017 ◽  
Vol 27 (10) ◽  
pp. 1010-1014 ◽  
Author(s):  
Vrushali C. Ponde ◽  
Vinit V. Bedekar ◽  
Ankit P. Desai ◽  
Kiran A. Puranik

2016 ◽  
Vol 06 (04) ◽  
pp. 63-66
Author(s):  
Joel Waring ◽  
Alyssa Lowenwirt ◽  
Miriam Flaum ◽  
Eduard Logvinskiy ◽  
Dennis E. Feierman

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

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 ◽  
...  

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.


Author(s):  
Imanuel R. Lerman

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.


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

2018 ◽  
Vol 62 (1) ◽  
pp. 80
Author(s):  
Divya Dixit ◽  
MaryC Theroux ◽  
KirkW Dabney ◽  
Freeman Miller

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