Evaluation Of Caudal Epidural Anatomy By Ultrasonography İn Pediatric Patients

NCT03825172 | Completed

• 1 other identifier: 72109855-604.01.01-103424
• Study Type: observational
• Target: 348
• Locations: 1 country
• Sites: 1

Brief Summary

Detailed study of ultrasonographic caudal epidural anatomy

Conditions

Anesthesia, Caudal; Anatomy; Ultrasonography; Pediatrics

Keywords

Caudal block; Ultrasound; Children; Regional block anatomy

Outcome Measures

Primary Outcomes (3)

• Definition Of Dural Sac Termination Level By Ultrasonography

  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.

  5 minutes

• Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle

  Distance Between Dural Sac Termination Level And Placement Of Caudal Epidural Needle will be measured under longitudinal ultrasound view

  5 minutes

• Definition Of Average Caudal Epidural Depth By Ultrasonography

  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.

  5 minutes

Secondary Outcomes (1)

• Determination Of Sacral Cornua As An Anatomic Landmark And Confirmation By Ultrasonography

  5 minutes

Study Arms (3)

Group I

Caudal Epidural Ultrasonography will be performed in patients aged between 1-24 months

Diagnostic Test: Caudal Epidural Ultrasonography

Group II

Caudal Epidural Ultrasonography will be performed in patients aged between 25-48 months

Diagnostic Test: Caudal Epidural Ultrasonography

Group III

Caudal Epidural Ultrasonography will be performed in patients aged between 49-84 months

Diagnostic Test: Caudal Epidural Ultrasonography

Interventions

Caudal Epidural Ultrasonography DIAGNOSTIC_TEST

Ultrasonographic Measurement

Group I; Group II; Group III

Eligibility Criteria

• Age: 1 Month - 84 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Pediatric patients who are admitted to operating room for any pediatric surgery

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Istanbul University: lead
• Pinar Kendigelen: collaborator
• Ayse Cigdem Tutuncu: collaborator
• Kaya, Guner, M.D.: collaborator

Study Sites (1)

Cerrahpasa Medical Faculty

Istanbul, 34098, Turkey (Türkiye)

Location

Study Officials

• Celal Kaya, MD

  Istanbul University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident

Study Record Dates

• First Submitted: January 24, 2019
• First Posted: January 31, 2019
• Study Start: January 28, 2019
• Primary Completion: December 30, 2019
• Study Completion: January 20, 2020
• Last Updated: January 11, 2022

Record last verified: 2021-04

Locations

TU (1)