Advantages of Ultrasound Imaging for Placement of Caudal Epidural Blockade in three Pediatric Sufferers: A Case Report.
A A Pract. 2018 Jan 25;:
Authors: Sinskey JL, Vecchione TM, Ekstrom BG, Boretsky Okay
Pediatric caudal epidural blockade, the commonest pediatric regional anesthetic, is classically positioned utilizing floor landmark approach with rare use of ultrasound steering. We current three circumstances the place ultrasound steering facilitated profitable placement and helped stop issues. One toddler had an unanticipated S5 dural sac necessitating needle redirection to keep away from subarachnoid injection. A 5-year previous had correct needle place with lack of ability to inject secondary to needle blockage confirmed with ultrasound. An expremature toddler had preliminary needle placement anterior to the sacrum with subsequent correct placement utilizing real-time ultrasound imaging. Ultrasound steering for pediatric caudal placement confers benefits and elevated routine use ought to be thought-about.
PMID: 29634564 [PubMed – as supplied by publisher]