AI Article Synopsis
- The study evaluated the effectiveness of using a saline injection test with ultrasound imaging to ensure correct cannula placement for caudal anesthesia in children.
- The research involved 60 children and showed that the saline test accurately identified the right position 96.5% of the time, with a perfect success rate for children younger than 2.
- The findings suggest that this method is a reliable, safe, and efficient way to confirm correct cannula position, enhancing the safety and effectiveness of caudal anesthesia.
Article Abstract
Background: Correct caudal cannula placement is essential for block success and the avoidance of complications. The aim of this study was to assess the use of a saline injection test bolus with ultrasound (US) imaging to identify correct cannula placement for caudal anesthesia.
Methods: A prospective observational study of 60 children undergoing caudal anesthesia. A Sonosite 180 Plus (Sonosite Inc., Bothwell, WA) was used to image the spine and look for caudal space expansion secondary to saline injection.
Results: Saline test bolus correctly identified position in 96.5% of all subjects, and was 100% successful in children under 2 years of age.
Conclusions: These preliminary results suggest saline test bolus under US imaging is a reliable indicator of correct cannula position for caudal block. We found it safe, quick to perform, and provided additional useful information.
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| http://dx.doi.org/10.1111/j.1460-9592.2005.01606.x | DOI Listing |
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