Accuracy of the epidural catheter position during the lumbar approach in infants and children: a comparison among L2-3, L3-4, and L4-5 approaches / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 458-463, 2010.
Article
in English
| WPRIM
| ID: wpr-145230
ABSTRACT
BACKGROUND:
The aim of this study was to compare the accuracy of the position of the epidural catheter inserted from three different lumbar intervertebral spaces, L2-3, L3-4, and L4-5, in infants and children.METHODS:
Seventy-five children were randomly allocated to 3 groups according to the epidural catheter insertion site (L2-3, L3-4, and L4-5). The epidural catheter tip was identified using 50% diluted Iohexol and fluoroscopy. The incidence of correct position was compared among the groups and between infants and children.RESULTS:
The incidence of correct position was significantly higher in the L2-3 group as compared to the L3-4 and L4-5 groups (P = 0.023 and P = 0.046 respectively). The incidence of correct position was higher in infants compared to children (P = 0.017).CONCLUSIONS:
The L2-3 intervertebral space is preferable during epidural catheter insertion in children older than 1 year, but a low lumbar level should be considered in infants because they have a higher risk of neural damage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Iohexol
/
Fluoroscopy
/
Analgesia, Epidural
/
Incidence
/
Catheters
Type of study:
Incidence study
/
Prognostic study
Limits:
Child
/
Humans
/
Infant
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2010
Type:
Article
Similar
MEDLINE
...
LILACS
LIS