Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

Ultrasonography Clinical Trial

Official title:

Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03825172
• Other study ID #: 72109855-604.01.01-103424
• Status: Completed
• Start date: January 28, 2019
• Est. completion date: January 20, 2020

Study information

• Verified date: April 2021
• Source: Istanbul University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Detailed study of ultrasonographic caudal epidural anatomy

Description:

Caudal epidural block is one of the most common methods to provide analgesia for an infraumbilical surgery in children. Although it can be carried out safely and easily, many complications have been described so far, because of inaccurate needle injections. To perform a successful block, a good caudal epidural anatomic assessment is essential. Ultrasonography is an important tool to perform pediatric regional blocks, including caudal blocks. We believe that caudal epidural ultrasound evaluation can be an important option to decrease complications and to achieve a successful attempt; due to that we will try to describe caudal epidural ultrasound imaging and changes from one month to 84 months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 348
• Est. completion date: January 20, 2020
• Est. primary completion date: December 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 1 Month to 84 Months

Eligibility

Inclusion Criteria:

• Pediatric patients who applied for any pediatric surgery from 20 january to 20 july

Exclusion Criteria:

• Premature patients

• Patients who have any sendromic diagnosis

• Patients who have any musculoskeletal abnormalities

• Patients who have any spinal abnormalities

Related Conditions & MeSH terms

• Anatomy
• Anesthesia, Caudal
• Pediatrics
• Ultrasonography

Intervention

Diagnostic Test:
• Caudal Epidural Ultrasonography
Ultrasonographic Measurement

Locations

Country	Name	City	State
Turkey	Cerrahpasa Medical Faculty	Istanbul

Sponsors (4)

Lead Sponsor	Collaborator
Istanbul University	Ayse Cigdem Tutuncu, Guner Kaya, Pinar Kendigelen

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Definition Of Dural Sac Termination Level By Ultrasonography	After general anesthesia, patient will be placed in lateral decubitus position. First, a 12 MHz lineer ultrasound transducer will be placed transversely to obtain the transverse view of sacral hiatus; in this view we will try to show two sacral cornua, sacrococcygeal ligament, posterior sacral bone and caudal epidural depth. Secondly, transducer will be turned parallel to the midline or paravertebral to obtain longitudinal view; in longitudinal view we will try to obtain the images of sacral vertebral corpuses, caudal epidural area and dural sac. We will try to determine the level of dural sac termination according to a part of vertabral corpus or an intervertebral distance.	5 minutes
Primary	Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle	Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view	5 minutes
Primary	Definition Of Average Caudal Epidural Depth By Ultrasonography	Definition of caudal epidural depth by ultrasonography will be obtained under transverse view for every patient and average value will be defined for every age group.	5 minutes
Secondary	Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography	Sacral cornua will be palpated and than will be scanned under transverse ultrasound view. Also results will be compared.	5 minutes