Cancer Clinical Trial
Official title:
Comparison of Contralateral Oblique View With the Lateral View for Mid-thoracic Epidural Assess: a Pilot Study
The aim of the present study is to compare contralateral oblique view with the lateral view for fluoroscopic guided mid-thoracic epidural assess.
A thoracic epidural assess (block or catheter insertion) is a widely used intervention to
reduce pain in patients with postherpetic neuralgia or who underwent chest and upper
abdominal surgery.
In order to achieve the correct procedure, accurate access to the thoracic epidural space is
needed. However, a thoracic epidural assess is a relatively more difficult procedure than
procedures used in other regions, because the spinous process of the thoracic vertebra is
longer than that of the lumbar vertebra, and the area through which the needle can approach
the epidural space is relatively smaller due to an acute angle and larger distance between
the skin and the epidural space. The midthoracic region (T4-8) is the most difficult area
when performing this procedure.
To overcome this issue, a method of approaching the thoracic epidural space through the
contralateral oblique view (CLO view) has been introduced, however, unlike the cervical or
lumbar spine, advantages of the CLO view over the lateral view or the optimal angle of the
CLO view have not yet been studied. Therefore, we planned this study to investigate the
advantages of the CLO view compared with the lateral view and to determine the optimal angles
of the CLO view when fluoroscopic guided mid-thoracic epidural assess.
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