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Determination of the optimal angle for needle insertion during caudal block in children using ultrasound imaging

Authors
 J. H. Park  ;  B. N. Koo  ;  J. Y. Kim  ;  J. E. Cho  ;  W. O. Kim  ;  H. K. Kil 
Citation
 ANAESTHESIA, Vol.61(10) : 946-949, 2006 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2006
MeSH
Analgesia, Epidural/methods* ; Anesthesia, General ; Anthropometry ; Child ; Child, Preschool ; Epidural Space/anatomy & histology ; Epidural Space/ultrastructure ; Female ; Humans ; Infant ; Male ; Needles ; Ultrasonography, Interventional/methods*
Abstract
Using ultrasound imaging, the optimal angle for needle insertion during caudal epidural injection in children was estimated. After general anaesthesia, ultrasonography was performed at the sacral hiatus in 130 children aged 2-84 months positioned in the lateral position. The median [range] values for the intercornual, caudal space depth and the distance from skin to the posterior sacral bony surface were 17.0 [9.6-24] mm, 3.5 [1-8] mm and 21.0 [10-39] mm, respectively. The optimal angle showed no significant correlation with age, weight, height or body surface area. The median [range] calculated optimal angle for the needle was 21.0 [10-38] degrees. We conclude that the needle should be inserted at about 20 degrees to the skin to avoid puncture of the bone and potential intra-osseous injection.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2044.2006.04795.x/abstract
DOI
10.1111/j.1365-2044.2006.04795.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kil, Hae Keum(길혜금)
Kim, Won Oak(김원옥)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109168
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