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성인에서 미추 경막외 차단 시 이상적인 바늘 천자 각도

DC Field Value Language
dc.contributor.author고신옥-
dc.contributor.author김원옥-
dc.contributor.author박은영-
dc.contributor.author윤경봉-
dc.contributor.author윤덕미-
dc.contributor.author이호동-
dc.date.accessioned2015-05-19T16:28:29Z-
dc.date.available2015-05-19T16:28:29Z-
dc.date.issued2008-
dc.identifier.issn2005-6419-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/106373-
dc.description.abstractBACKGROUND: This study was conducted to investigate the optimal angle of needle insertion during caudal epidural injection in chronic low back pain patients using ultrasound imaging. METHODS: One hundred eight patients (40 male and 68 female patients) with low back pain and sciatica were studied.Soft tissue ultrasonography was performed to identify the sacral hiatus. The optimal angle of the needle to the skin was measured with an imaginary line drawn parallel to the sacral base using a protractor on a longitudinal plane. A 22-gauge caudal epidural needle was inserted and was guided by ultrasound to the sacral hiatus and into the caudal epidural space. RESULTS: The mean +/- SD for the intercornual distance, depth of the caudal space and the thickness of the sacrococcygeal membrane were 19.0 +/- 3.2 mm, 3.6 +/- 0.9 mm and 1.8 +/- 0.8 mm, respectively. The optimal angle showed a significant correlation with the depth of the caudal space and the thickness of the sacrococcygeal membrane. The mean +/- SD for the optimal angle of the needle insertion was 23.5 +/- 6.9 degrees. CONCLUSIONS: We conclude that the needle should be inserted at an angle of approximately 23.5 degrees to the skin in order to avoid injury to the periosteum and an inadvertent intra-osseous injection.-
dc.description.statementOfResponsibilityopen-
dc.format.extent295~299-
dc.relation.isPartOfKOREAN JOURNAL OF ANESTHESIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title성인에서 미추 경막외 차단 시 이상적인 바늘 천자 각도-
dc.title.alternativeThe Optimal Angle of Needle Insertion for Caudal Block in Adults-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthor이호동-
dc.contributor.googleauthor윤덕미-
dc.contributor.googleauthor박은영-
dc.contributor.googleauthor이형석-
dc.contributor.googleauthor윤경봉-
dc.contributor.googleauthor김원옥-
dc.contributor.googleauthor고신옥-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00126-
dc.contributor.localIdA00766-
dc.contributor.localIdA02539-
dc.contributor.localIdA02545-
dc.contributor.localIdA03325-
dc.contributor.localIdA01612-
dc.relation.journalcodeJ03189-
dc.identifier.eissn2005-7563-
dc.identifier.pmidcaudal block ; chronic low back pain ; optimal angle ; ultrasound-
dc.subject.keywordcaudal block-
dc.subject.keywordchronic low back pain-
dc.subject.keywordoptimal angle-
dc.subject.keywordultrasound-
dc.contributor.alternativeNameKoh, Shin Ok-
dc.contributor.alternativeNameKim, Won Oak-
dc.contributor.alternativeNamePark, Eun Young-
dc.contributor.alternativeNameYoon, Kyoung Bong-
dc.contributor.alternativeNameYoon, Duck Mi-
dc.contributor.alternativeNameRhee, Ho Dong-
dc.contributor.affiliatedAuthorKoh, Shin Ok-
dc.contributor.affiliatedAuthorKim, Won Oak-
dc.contributor.affiliatedAuthorYoon, Kyoung Bong-
dc.contributor.affiliatedAuthorYoon, Duck Mi-
dc.contributor.affiliatedAuthorRhee, Ho Dong-
dc.contributor.affiliatedAuthorPark, Eun Young-
dc.rights.accessRightsfree-
dc.citation.volume54-
dc.citation.number3-
dc.citation.startPage295-
dc.citation.endPage299-
dc.identifier.bibliographicCitationKOREAN JOURNAL OF ANESTHESIOLOGY, Vol.54(3) : 295-299, 2008-
dc.identifier.rimsid44386-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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