Ahıskalıoğlu, AliYayık, Ahmet MuratOral Ahıskalıoğlu, ElifEkinci, MürselGölboyu, Birzat EmreÇelik, Erkan CemAlıcı, Hacı AhmetOral, AkgünDemirdöğen, Şaban O?uz10.07.20192019-07-1010.07.20192019-07-102018Ahıskalıoğlu, 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.2017.11.0110952-81801873-4529https://dx.doi.org/10.1016/j.jclinane.2017.11.011https://hdl.handle.net/20.500.12511/3025WOS: 000423137700039PubMed ID: 29161549Study 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.eninfo:eu-repo/semantics/embargoedAccessUltrasound Guided Caudal InjectionSacral HiatusSacral CanalPediatricsAnalgesiaCaudal BlockArticle44919610.1016/j.jclinane.2017.11.011Q1Q2