The influence of epidural catheter on the incidence of intravascular injection during caudal block
Objective The aim of this study was to analyze the influence of epidural catheters on the incidence of intravascular injection and to identify possible predictors of intravascular injection in patients undergoing a caudal block using fluoroscopy. Methods A total of 154 patients scheduled to receive a caudal block were randomized into group N (those without epidural catheter) or group C (those with epidural catheter). Demographic and clinical data were recorded and analyzed. Results The incidence of intravascular injection was 15.6% in group N, 6.5% in group C, and 11.0% overall, without statistical differences between the two groups (P = 0.105). Univariate analysis revealed that blood at hub (P = 0.047) and positive aspiration test (P = 0.045) were more frequently observed in group N than in group C. Quality of analgesia was significantly higher in group C than in group N (P = 0.029). Multivariate analysis identified older age (P = 0.024), blood at hub (P = 0.003), and positive aspiration test (P = 0.001) as predictors of intravascular injection. Conclusions In this study, while the incidence of intravascular injection during caudal blocks was less frequent with epidural catheter use, it was not statistically significant. However, a caudal block using an epidural catheter provided a lower incidence of blood at hub, fewer positive aspiration tests, and superiority in pain improvement..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
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| Enthalten in: |
Skeletal radiology - 46(2017), 12 vom: 10. Aug., Seite 1707-1713 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lee, Jin Young [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Aspiration test |
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| Anmerkungen: |
© ISS 2017 |
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| doi: |
10.1007/s00256-017-2740-4 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
SPR003111016 |
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| 245 | 1 | 4 | |a The influence of epidural catheter on the incidence of intravascular injection during caudal block |
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| 520 | |a Objective The aim of this study was to analyze the influence of epidural catheters on the incidence of intravascular injection and to identify possible predictors of intravascular injection in patients undergoing a caudal block using fluoroscopy. Methods A total of 154 patients scheduled to receive a caudal block were randomized into group N (those without epidural catheter) or group C (those with epidural catheter). Demographic and clinical data were recorded and analyzed. Results The incidence of intravascular injection was 15.6% in group N, 6.5% in group C, and 11.0% overall, without statistical differences between the two groups (P = 0.105). Univariate analysis revealed that blood at hub (P = 0.047) and positive aspiration test (P = 0.045) were more frequently observed in group N than in group C. Quality of analgesia was significantly higher in group C than in group N (P = 0.029). Multivariate analysis identified older age (P = 0.024), blood at hub (P = 0.003), and positive aspiration test (P = 0.001) as predictors of intravascular injection. Conclusions In this study, while the incidence of intravascular injection during caudal blocks was less frequent with epidural catheter use, it was not statistically significant. However, a caudal block using an epidural catheter provided a lower incidence of blood at hub, fewer positive aspiration tests, and superiority in pain improvement. | ||
| 650 | 4 | |a Aspiration test |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Blood at hub |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Caudal block |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Catheter |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Epidural |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Vascular |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Lee, Sung Hyun |4 aut | |
| 700 | 1 | |a Sim, Woo Seog |4 aut | |
| 700 | 1 | |a Kim, Duk Kyung |4 aut | |
| 700 | 1 | |a Lee, Sang Hoon |4 aut | |
| 700 | 1 | |a Yun, Hyo Min |4 aut | |
| 700 | 1 | |a Park, Hue Jung |4 aut | |
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