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Completed

NCT Number: NCT03825172

Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

Detailed study of ultrasonographic caudal epidural anatomy

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Key information

Conditions

Anesthesia, Caudal Anatomy Pediatrics Ultrasonography

Age range

1 month–84 month

Sex eligibility

All sexes

Study type

Observational

Primary location

Cerrahpasa Medical Faculty

Istanbul, 34098, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Caudal Epidural Ultrasonography

Diagnostic Test

Ultrasonographic Measurement

Primary outcomes

  1. Definition Of Dural Sac Termination Level By Ultrasonography

    Time frame: 5 minutes

    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.

  2. Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle

    Time frame: 5 minutes

    Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view

  3. Definition Of Average Caudal Epidural Depth By Ultrasonography

    Time frame: 5 minutes

    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.

Secondary outcomes

  1. Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography

    Time frame: 5 minutes

    Sacral cornua will be palpated and than will be scanned under transverse ultrasound view. Also results will be compared.

Sponsors and collaborators

Lead sponsor

Istanbul University

Other

Collaborators

  • Ayse Cigdem Tutuncu
  • Kaya, Guner, M.D.
  • Pinar Kendigelen

Registry information

Important dates

Study start
2019
Primary completion
2019
Study completion
2020
First posted
Jan 31, 2019
Registry last updated
Jan 11, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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