Accuracy of caudal epidural injection: The importance of real-time imaging
Pain Practice, cilt.5, sa.3, ss.251-254, 2005 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 5 Sayı: 3
- Basım Tarihi: 2005
- Doi Numarası: 10.1111/j.1533-2500.2005.05311.x
- Dergi Adı: Pain Practice
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.251-254
- Anahtar Kelimeler: Caudal, Epidural, Intravascular injection
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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. © 2005 World Institute of Pain.