Abstract

MENDIOLA DE LA OSA, A. et al. Technical reliability of caudal block with ultrasound guided. Rev. Soc. Esp. Dolor [online]. 2014, vol.21, n.6, pp.323-327. ISSN 1134-8046.  https://dx.doi.org/10.4321/S1134-80462014000600005.

Introduction: Caudal block is a procedure used to treat lumbo-sacral root pain. This procedure has traditionally been realized using anatomy references or guided by fluoroscopy. The realization of sonography-guided technique and complications following the embodiment there of is presented. Material and methods: Observational and descriptive study in which is studied procedure complications. One hundred and twenty-six caudal blocks were performed in adult patients of both sexes. Procedure: The sacral hiatus was located by ultrasound and 18 G Tuohy needle was inserted into the epidural space flow drilling the sacro-coccygeal ligament. Results: There were no serious complications arose in any of the patients. There were no cases of poor ultrasound window so they could perform the technique on all scheduled patients. Conclusions: The procedure sonography-guided is safe and reliable due to the absence of complications and is an alternative to flouoroscopy-guided technique. This technique of ionizing radiation exposure is avoided. In addition the caudal block does not need ionized contrast substances and let take the sonography machine bedsides if necessary.

Keywords : Caudal block; Sonography.

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