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Ultrasound guided caudal epidural

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https://www.readbyqxmd.com/read/28846539/catheterization-in-an-ultrasound-guided-thoracic-paravertebral-block%C3%A2-using-thoracoscopy
#1
T Fujii, Y Shibata, Y Ban, A Shitaokoshi, K Nishiwaki
Thoracic paravertebral block (TPVB) is an efficient alternative to epidural anesthesia. The location of a catheter within the thoracic paravertebral space (TPVS) has been examined in the human cadaver studies, but it is unclear how it goes into the TPVS during catheterization. In this report, thoracoscopy was used to observe the thoracic cavity in real-time during a parasagittal in-plane approach of ultrasound-guided TPVB. During thoracoscopy, we observed whether a paravertebral catheter could be advanced caudally beyond the ribs into the neighboring TPVS...
March 2017: Asian J Anesthesiol
https://www.readbyqxmd.com/read/28728944/ultrasound-guided-thoracic-paravertebral-block-cadaveric-study-in-foxes-vulpes-vulpes
#2
Paolo Monticelli, Ian Jones, Jaime Viscasillas
OBJECTIVE: To describe an ultrasound-guided thoracic paravertebral block in canidae. STUDY DESIGN: Prospective, experimental, cadaveric study. ANIMALS: Twelve thawed fox cadavers. METHODS: A 15 MHz linear transducer was used to visualize the paravertebral space at the level of the fifth thoracic vertebrae. Iohexol (300 mg mL(-1)) at 0.2 mL kg(-1) was injected into the right and left paravertebral spaces under ultrasound guidance using a Tuohy needle...
March 22, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/28444433/boundaries-of-the-thoracic-paravertebral-space-potential-risks-and-benefits-of-the-thoracic-paravertebral-block-from-an-anatomical-perspective
#3
Esther A C Bouman, Judith M Sieben, Andrea J R Balthasar, Elbert A Joosten, Hans-Fritz Gramke, Maarten van Kleef, Arno Lataster
PURPOSE: Thoracic paravertebral block (TPVB) may be an alternative to thoracic epidural analgesia. A detailed knowledge of the anatomy of the TPV-space (TPVS), content and adnexa is essential in understanding the clinical consequences of TPVB. The exploration of the posterior TPVS accessibility in this study allows (1) determination of the anatomical boundaries, content and adnexa, (2) description of an ultrasound-guided spread of low and high viscous liquid. METHODS: In two formalin-fixed specimens, stratification of the several layers and the 3D-architecture of the TPVS were dissected, observed and photographed...
April 25, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28345418/a-coaxial-dual-element-focused-ultrasound-probe-for-guidance-of-epidural-catheterization
#4
Guo-Chung Dong, Li-Chen Chiu, Chien-Kun Ting, Jia-Ruei Hsu, Chih-Chung Huang, Yin Chang, Gin-Shin Chen
Ultrasound guidance for epidural block has improved clinical blind-trial problems but the design of present ultrasonic probes poses operating difficulty of ultrasound-guided catheterization, increasing the failure rate. The purpose of this study was to develop a novel ultrasonic probe to avoid needle contact with vertebral bone during epidural catheterization. The probe has a central circular passage for needle insertion. Two focused annular transducers are deployed around the passage for on-axis guidance. A 17-gauge insulated Tuohy needle containing the self-developed fiber-optic-modified stylet was inserted into the back of the anesthetized pig, in the lumbar region under the guidance of our ultrasonic probe...
March 1, 2017: Ultrasonic Imaging
https://www.readbyqxmd.com/read/28337460/caudal-epidural-block-an-updated-review-of-anatomy-and-techniques
#5
REVIEW
Sheng-Chin Kao, Chia-Shiang Lin
Caudal epidural block is a commonly used technique for surgical anesthesia in children and chronic pain management in adults. It is performed by inserting a needle through the sacral hiatus to gain entrance into the sacral epidural space. Using conventional blind technique, the failure rate of caudal epidural block in adults is high even in experienced hands. This high failure rate could be attributed to anatomic variations that make locating sacral hiatus difficult. With the advent of fluoroscopy and ultrasound in guiding needle placement, the success rate of caudal epidural block has been markedly improved...
2017: BioMed Research International
https://www.readbyqxmd.com/read/27826539/vertical-small-needle-caudal-epidural-injection-technique
#6
Liza Maniquis Smigel, Kenneth Dean Reeves, Howard Jeffrey Rosen, David Patrick Rabago
BACKGROUND: Anecdotal evidence suggests that a vertical small-needle injection method enters the caudal epidural space with comparable efficacy to cephalad-directed methods, with less intravascular injection. OBJECTIVES: Assess the success rate of vertical caudal epidural injection using epidurography and the frequency of intravascular injection using a vertical small-needle approach. PATIENTS AND METHODS: Participants had chronic generalized non-surgical low back pain and either gluteal and/or leg pain and were enrolled in a simultaneous clinical trial assessing the analgesic effect of 5% dextrose epidural injection...
June 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27593794/caudal-epidural-steroid-injections-in-postlaminectomy-patients-comparison-of-ultrasonography-and-flouroscopy
#7
Taylan Akkaya, Derya Özkan, Hayri Kertmen, Zeki Şekerci
AIM: The purpose of this study was to compare the results of ultrasound- and fluoroscopy-guided caudal epidural steroid injections in postlaminectomy patients. MATERIAL AND METHODS: Of the 30 postlaminectomy patients who were randomly divided into two groups, Group I (n=15) received ultrasound-guided and Group II (n=15) fluoroscopy-guided caudal epidural local anesthetic and steroid injection, and each patient's time to performed block was recorded. The patients' Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and satisfaction with the therapy during the 3-month follow-up were evaluated...
December 28, 2015: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27468672/ultrasound-guided-spinal-procedures-for-pain-a-review
#8
REVIEW
Mark-Friedrich B Hurdle
As the population ages, more patients are developing degenerative changes of the spine and associated pain. Although interventional procedures for axial and radicular spine pain have been available for decades, common imaging modalities have relied on ionizing radiation for guidance. Over the past decade, ultrasound has become increasingly popular to image both peripheral musculoskeletal and axial structures. This article reviews the use of ultrasound in the guidance of spine procedures, including cervical and lumbar facet injections and medial branch blocks, third occipital nerve blocks, thoracic facet and costotransverse joint injections, sacroiliac joint injections, and caudal and interlaminar epidural injections...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/27330199/ultrasound-versus-fluoroscopy-guided-caudal-epidural-steroid-injection-for-the-treatment-of-chronic-low-back-pain-with-radiculopathy-a-randomised-controlled-clinical-trial
#9
Arindam Kumar Hazra, Dipasri Bhattacharya, Sayantan Mukherjee, Santanu Ghosh, Manasij Mitra, Mohanchandra Mandal
BACKGROUND AND AIMS: Caudal epidural steroid administration is an effective treatment for chronic low back pain (LBP). Fluoroscopy guidance is the gold standard for pain procedures. Ultrasound guidance is recently being used in pain clinic procedures. We compared the fluoroscopy guidance and ultrasound guidance for caudal epidural steroid injection with respect to the time needed for correct placement of the needle and clinical effectiveness in patients with chronic LBP. METHODS: Fifty patients with chronic LBP with radiculopathy, not responding to conventional medical management, were randomly allocated to receive injection depot methyl prednisolone (40 mg) through caudal route either using ultrasound guidance (Group U, n = 25) or fluoroscopy guidance (Group F, n = 25)...
June 2016: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/27319096/-efficacy-of-ultrasound-guided-caudal-epidural-block-for-transrectal-ultrasound-guided-prostate-biopsy
#10
RANDOMIZED CONTROLLED TRIAL
Atsushi Sawada, Yukitoshi Niiyama, Michiaki Yamakage
BACKGROUND: We investigated the efficacy of ultrasound (US)-guided caudal epidural block for transrectal ultrasound (TRUS)-guided prostate biopsy. METHODS: Sixty adult patients (ASA I or II) were enrolled in this study and randomized into two groups: group S receiving spinal block (n = 30) and group C receiving US-guided caudal epidural block (n = 30). We measured systolic blood pressure (SBP), heart rate (HR), and degrees of sensory and motor blockade. Procedural time for regional anesthesia was recorded...
May 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26683948/ultrasound-guided-versus-fluoroscopy-guided-caudal-epidural-steroid-injection-for-the-treatment-of-unilateral-lower-lumbar-radicular-pain-case-controlled-retrospective-comparative-study
#11
COMPARATIVE STUDY
Ki Deok Park, Tai Kon Kim, Woo Yong Lee, JaeKi Ahn, Sung Hoon Koh, Yongbum Park
The aim of the article is to investigate the efficacy of ultrasound (US)-guided Caudal Epidural Steroid Injection (CESI) compared with fluoroscopy (FL)-guided CESI in patients with unilateral lower lumbar radicular pain. This case-controlled, retrospective, comparative study was done at the university hospital. A total of 110 patients treated with US- or FL-guided CESI were administered a mixture of 20 cc (0.5% lidocaine 18.0  mL + dexamethason 10  mg 2  mL). Outcome measurement was assessed by Oswestry Disability Index (ODI), verbal numeric pain scale (VNS) before injections and at 3, 6, and 12 months after the last injections...
December 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26495086/ultrasound-guided-technique-for-the-caudal-epidural-injection
#12
Dae Hyun Jo
No abstract text is available yet for this article.
October 2015: Korean Journal of Pain
https://www.readbyqxmd.com/read/26239147/successful-use-of-ultrasound-guided-caudal-catheter-in-a-child-with-a-very-low-termination-of-dural-sac-and-opitz-gbbb-syndrome-a-case-report
#13
Branislav Mislovic
We report a 2-year-old patient with Opitz-GBBB syndrome scheduled for a posterior sagittal anorectoplasty (PSARP). The ultrasound scan revealed the inferior end of dural sac just below sacrococcygeal membrane, although the patient had previously two successful caudal epidural blocks. Consequently, the epidural catheter was inserted under a real-time ultrasound guidance without dural puncture. Our patient had excellent pain relief without any side effects.
October 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/25852834/a-comparison-of-two-techniques-for-ultrasound-guided-caudal-injection-the-influence-of-the-depth-of-the-inserted-needle-on-caudal-block
#14
A Ram Doo, Jin Wan Kim, Ji Hye Lee, Young Jin Han, Ji Seon Son
BACKGROUND: Caudal epidural injections have been commonly performed in patients with low back pain and radiculopathy. Although caudal injection has generally been accepted as a safe procedure, serious complications such as inadvertent intravascular injection and dural puncture can occur. The present prospective study was designed to investigate the influence of the depth of the inserted needle on the success rate of caudal epidural blocks. METHODS: A total of 49 adults scheduled to receive caudal epidural injections were randomly divided into 2 groups: Group 1 to receive the caudal injection through a conventional method, i...
April 2015: Korean Journal of Pain
https://www.readbyqxmd.com/read/25035698/ultrasound-as-a-screening-tool-for-performing-caudal-epidural-injections
#15
Mahshid Nikooseresht, Masoud Hashemi, Seyed Amir Mohajerani, Farideh Shahandeh, Mahvash Agah
BACKGROUND: The caudal approach to the epidural space has been used for decades to treat low back pain caused by lumbosacral root compression. The use of fluoroscopy during epidural steroid injection is the preferred method for placing the needle more accurately in the sacral hiatus, but it carries the risk of radiation hazard. OBJECTIVES: The aim of the study was to assess the anatomical structure of the sacral hiatus and the feasibility of caudal epidural injections under ultrasound guidance...
May 2014: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/24821855/ultrasonographic-anatomy-of-the-sacrococcygeal-region-and-ultrasound-guided-epidural-injection-at-the-sacrococcygeal-space-in-dogs
#16
T Gregori, J Viscasillas, L Benigni
Sacrococcygeal epidural anaesthesia allows selective desensitisation of the sacral plexus. Ultrasound is used for guidance in human anaesthesia to facilitate sacrococcygeal epidural injections. The aims of this study were to describe the sonographic appearance of the sacrococcygeal region in dogs and a technique for performing epidural injection at this location under ultrasound guidance. In the preliminary part of the study four cadavers were used to describe the sonoanatomy of the sacrococcygeal space and to develop the ultrasound-guided puncture technique...
July 19, 2014: Veterinary Record
https://www.readbyqxmd.com/read/24722013/ultrasound-guided-caudal-epidural-injection-technique
#17
Carl P C Chen, Henry L Lew, Simon F T Tang
No abstract text is available yet for this article.
January 2015: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/24654723/spine-ultrasonography-interventions-and-diagnostics
#18
Michael Gofeld, Kacey A Montgomery
SUMMARY Ultrasound-guided procedures are well established and utilized in the regional anesthesia and radiology practice. Conversely, there have been considerable difficulties in implementation of ultrasound in pain medicine. Ultrasonography has to compete with the more established modalities such as fluoroscopy and computed tomography; however, ultrasound has the advantage of radiation safety and point-of care imaging. It also allows direct visualization of tissue planes, blood vessels and nerves. Ultrasound-guided spine interventions are technically feasible and reasonably accurate when validated with conventional radiological modalities...
July 2012: Pain Management
https://www.readbyqxmd.com/read/24550028/-regional-anesthesia-procedures-in-childhood-austrian-interdisciplinary-recommendations-on-pediatric-perioperative-pain-management
#19
B Messerer, M Platzer, C Justin, M Vittinghoff
Regional anesthesia should be used for children whenever possible and is an essential element of a multimodal pain management. The prerequisites for a safe and effective procedure are detailed knowledge of the anatomical, physiological and pharmacological differences in childhood, the use of age-appropriate equipment and rapid recognition and treatment of possible complications. Extensive experience in pediatric as well as regional anesthesia is essential. The rule for selection of the ideal regional anesthesia procedure for each individual patient is: as central as necessary and as peripheral as possible...
February 2014: Der Schmerz
https://www.readbyqxmd.com/read/23636087/ultrasound-guided-vs-fluoroscopy-guided-caudal-epidural-steroid-injection-for-the-treatment-of-unilateral-lower-lumbar-radicular-pain-a-prospective-randomized-single-blind-clinical-study
#20
RANDOMIZED CONTROLLED TRIAL
Yongbum Park, Ji-Hae Lee, Ki Deok Park, Jae Ki Ahn, Jaehyun Park, Haemi Jee
OBJECTIVE: The aim of this study was to compare the short-term effects and advantages of ultrasound-guided caudal epidural steroid injections with fluoroscopy-guided epidural steroid injections for unilateral radicular pain in the lower lumbar spine. DESIGN: A total of 120 patients with unilateral radicular pain were enrolled and randomly assigned to either the fluoroscopy or the ultrasound group. Complication frequencies during the procedures, treatment effects, functional improvement, and adverse events were compared after the procedures...
July 2013: American Journal of Physical Medicine & Rehabilitation
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