Accuracy of Caudal Epidural Injection: The Importance of Real-Time Imaging.

Autor: Ergin, Atilla, Yanarates, Omer, Sizlan, Ali, Orhan, M. Emin, Kurt, Ercan, Guzeldemir, M. Erdal
Předmět:
Zdroj: Pain Practice; Sep2005, Vol. 5 Issue 3, p251-254, 4p
Abstrakt: Caudal epidural steroid injections are often used for low back pain. Fluoroscopic guidance has been frequently cited as a requirement for this procedure. In this preliminary report, we demonstrate that fluoroscopic guidance for caudal epidural Tuohy needle placement without real-time imaging may result in inadvertent intravenous injection of the drug. We detected intravenous leakage of the drug in 4 cases of 10 when real-time fluoroscopic imaging was used. Thus, real-time imaging may be recommended in addition to routine fluoroscopic guidance for caudal epidural procedures, as it may improve efficacy and safety by assuring accurate drug deposition. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index