The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
Clinics in Orthopedic Surgery
; : 190-192, 2017.
Article
in En
| WPRIM
| ID: wpr-202490
Responsible library:
WPRO
ABSTRACT
BACKGROUND: We investigated the value of using contrast as an additional aid to confirm the accuracy of needle placement for caudal epidural injections under intraoperative image intensifier guidance. METHODS: A total of 252 consecutive patients were included in this study. Their mean age was 46.7 years (range, 32 to 76 years). There were 133 males (53%) and 119 females (47%) over a 12-month period. RESULTS: Of the 252 consecutive procedures, the contrast enhanced image intensifier confirmed accurate needle placement on first attempt in 252 cases (100%). Needle resiting following the infiltration of contrast was required in 0 case. CONCLUSIONS: The results from this study demonstrate that a surgeon beyond the learning curve can accurately place caudal epidural injections using image intensification only, without the use of contrast.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Spine
/
Injections, Epidural
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Fluoroscopy
/
Learning Curve
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Anesthesia, Caudal
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Needles
Type of study:
Guideline
Limits:
Female
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Humans
/
Male
Language:
En
Journal:
Clinics in Orthopedic Surgery
Year:
2017
Type:
Article