The Caudal Space in Children: Ultrasound Evaluation

NCT ID: NCT01896076

Last Updated: 2014-07-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-06-30

Study Completion Date

2014-03-31

Brief Summary

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Caudal anesthesia is commonly employed in pediatrics to produce postoperative analgesia in low abdominal or urologic surgery.

An exact understanding of the anatomy of the sacral area including sacral hiatus and surrounding structures is crucial to the success of caudal block.

The aim of this study is to evaluate the anatomy of the caudal space in pediatrics by ultrasound evaluation.

Detailed Description

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Conditions

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Hydrocele Inguinal Hernia Hypospadia Cryptorchidism Genitourinary Disease

Study Design

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Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Pediatric patients in urologic surgery

Pediatric patients undergoing caudal block for urologic surgery were included in this study.

ultrasound evaluation of caudal space

Intervention Type OTHER

After induction of general anesthesia, the patients were placed in the lateral position. The ultrasound evaluation include transverse and longitudinal view.

First, investigators place the transducer at the sacral cornua to obtain a transverse view.

In the transverse view, the distance between two cornua and the depth of caudal space at the sacral hiatus were measured. In the longitudinal view, the distance from the skin to the sacrococcygeal membrane and the optimal angles and the safety distance for needle insertion depending on the points of insertions were measured. From the end of dura sac to the sacral hiatus were regarded as safety distance for the needle insertion during caudal block.

Interventions

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ultrasound evaluation of caudal space

After induction of general anesthesia, the patients were placed in the lateral position. The ultrasound evaluation include transverse and longitudinal view.

First, investigators place the transducer at the sacral cornua to obtain a transverse view.

In the transverse view, the distance between two cornua and the depth of caudal space at the sacral hiatus were measured. In the longitudinal view, the distance from the skin to the sacrococcygeal membrane and the optimal angles and the safety distance for needle insertion depending on the points of insertions were measured. From the end of dura sac to the sacral hiatus were regarded as safety distance for the needle insertion during caudal block.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged 0 - 84 months who were scheduled to undergo elective urological surgery.

Exclusion Criteria

* Patients with any contraindication to caudal epidural block were excluded.

* coagulopathy
* allergy to local anesthetics
* infection at the puncture site
Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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4-2013-0244

Identifier Type: -

Identifier Source: org_study_id

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