Steven A Roberts1, Velu Guruswamy, Ignacio Galvez. 1. Jackson Rees Department of Anaesthesia, The Royal Liverpool Children's NHS Trust, Alder Hey Hospital, Liverpool, UK. issus9@blueyonder.co.uk
Abstract
BACKGROUND: Correct caudal cannula placement is essential for block success and the avoidance of complications. The aim of this study was to assess the use of a saline injection test bolus with ultrasound (US) imaging to identify correct cannula placement for caudal anesthesia. METHODS: A prospective observational study of 60 children undergoing caudal anesthesia. A Sonosite 180 Plus (Sonosite Inc., Bothwell, WA) was used to image the spine and look for caudal space expansion secondary to saline injection. RESULTS: Saline test bolus correctly identified position in 96.5% of all subjects, and was 100% successful in children under 2 years of age. CONCLUSIONS: These preliminary results suggest saline test bolus under US imaging is a reliable indicator of correct cannula position for caudal block. We found it safe, quick to perform, and provided additional useful information.
BACKGROUND: Correct caudal cannula placement is essential for block success and the avoidance of complications. The aim of this study was to assess the use of a saline injection test bolus with ultrasound (US) imaging to identify correct cannula placement for caudal anesthesia. METHODS: A prospective observational study of 60 children undergoing caudal anesthesia. A Sonosite 180 Plus (Sonosite Inc., Bothwell, WA) was used to image the spine and look for caudal space expansion secondary to saline injection. RESULTS:Saline test bolus correctly identified position in 96.5% of all subjects, and was 100% successful in children under 2 years of age. CONCLUSIONS: These preliminary results suggest saline test bolus under US imaging is a reliable indicator of correct cannula position for caudal block. We found it safe, quick to perform, and provided additional useful information.
Authors: Ruslan Abdullayev; Ulku Sabuncu; Öznur Uludağ; Hatice Selcuk Kusderci; Mesut Oterkus; Aysel Buyrukcan; Mehmet Duran; Mehmet Bulbul; Hasan Ogunc Apaydin; Nail Aksoy; Musa Abes Journal: Cureus Date: 2019-03-30
Authors: Koray Erbüyün; Barış Açıkgöz; Gülay Ok; Ömer Yılmaz; Gökhan Temeltaş; İdil Tekin; Demet Tok Journal: Saudi Med J Date: 2016-02 Impact factor: 1.484