Accuracy of caudal epidural injection: the importance of real-time imaging

Caudal epidural steroid injections are often used for low back pain. Fluoroscopic guidance has been frequently cited as a requirement for this procedure. In this preliminary report, we demonstrate that fluoroscopic guidance for caudal epidural Tuohy needle placement without real-time imaging may result in inadvertent intravenous injection of the drug. We detected intravenous leakage of the drug in 4 cases of 10 when real-time fluoroscopic imaging was used. Thus, real-time imaging may be recommended in addition to routine fluoroscopic guidance for caudal epidural procedures, as it may improve efficacy and safety by assuring accurate drug deposition

Keywords : Back,Back Pain,Injections,Low Back Pain,Pain,Safety,Turkey,, Caudal,Epidural,Injection, harley street mri

Date of Publication : 2005 Sep

Authors : Ergin A;Yanarates O;Sizlan A;Orhan ME;Kurt E;Guzeldemir ME;

Organisation : Gulhane Military Medical Faculty, Department of Anaesthesiology and Reanimation, Ankara, Turkey. aergin@gata.edu.tr

Journal of Publication : Pain Pract

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/17147588

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