Ultrasound-guided versus conventional injection for caudal block in children: A prospective randomized clinical study

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dc.authorid0000-0002-5580-5960
dc.contributor.authorAhıskalıoğlu, Ali
dc.contributor.authorYayık, Ahmet Murat
dc.contributor.authorOral Ahıskalıoğlu, Elif
dc.contributor.authorEkinci, Mürsel
dc.contributor.authorGölboyu, Birzat Emre
dc.contributor.authorÇelik, Erkan Cem
dc.contributor.authorAlıcı, Hacı Ahmet
dc.contributor.authorOral, Akgün
dc.contributor.authorDemirdöğen, Şaban O?uz
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:57:40Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:57:40Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.descriptionWOS: 000423137700039
dc.descriptionPubMed ID: 29161549
dc.description.abstractStudy objective: The aim of this study was to compare the efficacies of ultrasound guided sacral hiatus injection and conventional sacral canal injection performed for caudal block in children. Design: Randomized controlled clinical trial. Setting: Operating rooms of university hospital of Erzurum, Turkey. Patients: One hundred-thirty four children, American Society of Anesthesiologists I-II, between the ages of 5 and 12, scheduled for elective phimosis and circumcision surgery. Interventions: Patients assigned to two groups for ultrasound guided caudal block (Group U, n = 68) or conventional caudal block (Group C, n = 66). Caudal solution was prepared as 0.125% levobupivacaine plus 10 mcg/kg morphine (total volume: 0.5 ml/kg), and was administered to both groups. Measurements: The block performing time, the block success rate, the number of needle puncture, the success at first puncture and the complications were recorded. Main results: The block performing time and the success rate of block were similar between Group U and Group C (109.96 +/- 49.73 s vs 103.17 +/- 45.12 s, and 97% vs 93%, respectively p > 0.05). The first puncture success rate was higher in Group U than in Group C (80% vs 63%, respectively p = 0.026). No significant difference was observed between the groups with regard to the number of needle punctures (p = 0.060). The rates of vascular puncture and subcutaneus bulging were higher in Group C than in Group U (8/66 vs 1/68, and 8/66 vs 0/68, respectively p < 0.05). Conclusions: Despite the limitations in central neuroaxial anesthesia we recommend the use of ultrasound since it reduces the complications and increases the success rate of first puncture in pediatric caudal injection.
dc.identifier.citationAhıskalıoğlu, A., Yayık, A. M., Oral Ahıskalıoğlu, E., Ekinci, M., Gölboyu, B. E., Çelik, E. C. ... Demirdöğen, Ş. O. (2018). Ultrasound-guided versus conventional injection for caudal block in children: A prospective randomized clinical study. Journal of Clinical Anesthesia, 44, 91-96. https://dx.doi.org/10.1016/j.jclinane.2017.11.011
dc.identifier.doi10.1016/j.jclinane.2017.11.011
dc.identifier.endpage96
dc.identifier.issn0952-8180
dc.identifier.issn1873-4529
dc.identifier.scopusqualityQ2
dc.identifier.startpage91
dc.identifier.urihttps://dx.doi.org/10.1016/j.jclinane.2017.11.011
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3025
dc.identifier.volume44
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Clinical Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectUltrasound Guided Caudal Injection
dc.subjectSacral Hiatus
dc.subjectSacral Canal
dc.subjectPediatrics
dc.subjectAnalgesia
dc.subjectCaudal Block
dc.titleUltrasound-guided versus conventional injection for caudal block in children: A prospective randomized clinical study
dc.typeArticle

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