Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03825172

Enrollment

348

Registered

2019-01-31

Start date

2019-01-28

Completion date

2020-01-20

Last updated

2022-01-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anatomy, Anesthesia, Caudal, Pediatrics, Ultrasonography

Keywords

Caudal block, Ultrasound, Children, Regional block anatomy

Brief summary

Detailed study of ultrasonographic caudal epidural anatomy

Detailed description

Caudal epidural block is one of the most common methods to provide analgesia for an infraumbilical surgery in children. Although it can be carried out safely and easily, many complications have been described so far, because of inaccurate needle injections. To perform a successful block, a good caudal epidural anatomic assessment is essential. Ultrasonography is an important tool to perform pediatric regional blocks, including caudal blocks. We believe that caudal epidural ultrasound evaluation can be an important option to decrease complications and to achieve a successful attempt; due to that we will try to describe caudal epidural ultrasound imaging and changes from one month to 84 months.

Interventions

DIAGNOSTIC_TESTCaudal Epidural Ultrasonography

Ultrasonographic Measurement

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

1 Months to 84 Months

Healthy volunteers

Inclusion criteria

* Pediatric patients who applied for any pediatric surgery from 20 january to 20 july

Exclusion criteria

* Premature patients * Patients who have any sendromic diagnosis * Patients who have any musculoskeletal abnormalities * Patients who have any spinal abnormalities

Design outcomes

Primary

Measure	Time frame	Description
Definition Of Dural Sac Termination Level By Ultrasonography	5 minutes	After general anesthesia, patient will be placed in lateral decubitus position. First, a 12 MHz lineer ultrasound transducer will be placed transversely to obtain the transverse view of sacral hiatus; in this view we will try to show two sacral cornua, sacrococcygeal ligament, posterior sacral bone and caudal epidural depth. Secondly, transducer will be turned parallel to the midline or paravertebral to obtain longitudinal view; in longitudinal view we will try to obtain the images of sacral vertebral corpuses, caudal epidural area and dural sac. We will try to determine the level of dural sac termination according to a part of vertabral corpus or an intervertebral distance.
Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle	5 minutes	Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view
Definition Of Average Caudal Epidural Depth By Ultrasonography	5 minutes	Definition of caudal epidural depth by ultrasonography will be obtained under transverse view for every patient and average value will be defined for every age group.

Secondary

Measure	Time frame	Description
Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography	5 minutes	Sacral cornua will be palpated and than will be scanned under transverse ultrasound view. Also results will be compared.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026