文章基本信息
- 标题：Accuracy of the epidural catheter position during the lumbar approach in infants and children: a comparison among L2-3, L3-4, and L4-5 approaches
- 本地全文：下载
- 作者：Kim, Yeon A ; Kim, Ji Young ; Kil, Hae Keum 等
- 期刊名称：Korean Journal of Anesthesiology
- 印刷版ISSN：2005-6419
- 出版年度：2010
- 卷号：58
- 期号：5
- 页码：458-463
- DOI：10.4097/kjae.2010.58.5.458
- 语种：English
- 出版社：The Korean Society of Anesthesiologists,
- 摘要：Background
The aim of this study was to compare the accuracy of the position of the epidural catheter inserted from three different lumbar intervertebral spaces, L2-3, L3-4, and L4-5, in infants and children.
MethodsSeventy-five children were randomly allocated to 3 groups according to the epidural catheter insertion site (L2-3, L3-4, and L4-5). The epidural catheter tip was identified using 50% diluted Iohexol and fluoroscopy. The incidence of correct position was compared among the groups and between infants and children.
ResultsThe incidence of correct position was significantly higher in the L2-3 group as compared to the L3-4 and L4-5 groups (P = 0.023 and P = 0.046 respectively). The incidence of correct position was higher in infants compared to children (P = 0.017).
ConclusionsThe L2-3 intervertebral space is preferable during epidural catheter insertion in children older than 1 year, but a low lumbar level should be considered in infants because they have a higher risk of neural damage.
- 关键词：epidural analgesia; pediatrics; Urologic surgery
