DETERMINATION OF THE OPTIMAL ANGLE FOR NEEDLE INSERTION DURINGCAUDAL EPIDURAL STEROID INJECTION IN ADULTS USING ULTRASOUND IMAGING

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GOKCEK ERHAN; KAYDU AYHAN

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Journal: Iranian Red Crescent Medical Journal Year:2018 | Volume:20 | Issue:8 Page(s): 0-0

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Title

DETERMINATION OF THE OPTIMAL ANGLE FOR NEEDLE INSERTION DURINGCAUDAL EPIDURAL STEROID INJECTION IN ADULTS USING ULTRASOUND IMAGING

Author(s)

GOKCEK ERHAN | KAYDU AYHAN | Issue Writer Certificate

Keywords

BACK PAIN

CAUDAL EPIDURAL

INJECTION

LUMBAR BACK PAIN

OPTIMAL ANGLE

Abstract

Background: Lumbar BACK PAIN is a common disease, which reduces life quality. CAUDAL EPIDURAL steroid INJECTION (CESI) is frequentlypreferred to relieve lumbar BACK PAIN. However, various major complications can be observed due to CESI. A new techniqueof needle angle should be improved to prevent complications such as intraosseous, intrathecal or intravascular INJECTION duringCESI. Objectives: CAUDAL EPIDURAL steroid INJECTION is one of the methods frequently used to treat chronic lumbar BACK PAIN. The currentstudy aimed at examining the anatomy of the sacral hiatus and determining the OPTIMAL ANGLE of the needle for CESI. Methods: The current clinical trial was performed in Diyarbakı r Selahaddin Eyyü bi State Hospital from January to June in 2017. Thestudy included 150 adult patients (first group = 92 males (%61. 3), second group = 58 females (%38. 7) aged 18-78 years applied to theAlgology Polyclinic with ASA-PS classes I and II (the American Society of Anesthesiologists (ASA) physical status classification system). Measurements were taken during the CESI applied under ultrasonography (USG) guidance of the intercornual distance, the sacralspace, and the optimal needle entry angle. Results: The intercornual distance was significantly higher in group one (mean standard deviation (SD): 16. 6 2. 04) than grouptwo (mean SD: 15. 8 2. 51) (P < 0. 049). No difference was observed between group one (mean SD: 4. 49 0. 75) and group two(mean SD: 4. 45 0. 88) with respect to sacral space (P > 0. 79). The most appropriate entry angle for the needle in the applicationof CESI was mean 71. 04° in the whole patient group, as 71. 9° in group one and 69. 7° in group two. There was no significant differencebetween the genders in terms of themeanoptimal angle (P> 0. 091). Also, nosignificant difference was observedamongthe patientsin terms of the demographic data (P > 0. 05). Conclusions: The results of the current study revealed that the optimal needle angle for CESI applied under USG guidance was71. 04° , different from traditional method and the INJECTION procedure could be safely made directly to the epidural space withoutchanging the angle after entry of the needle to the epidural space.

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APA: Copy

GOKCEK, ERHAN, & KAYDU, AYHAN. (2018). DETERMINATION OF THE OPTIMAL ANGLE FOR NEEDLE INSERTION DURINGCAUDAL EPIDURAL STEROID INJECTION IN ADULTS USING ULTRASOUND IMAGING. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 20(8), 0-0. SID. https://sid.ir/paper/293799/en

Vancouver: Copy

GOKCEK ERHAN, KAYDU AYHAN. DETERMINATION OF THE OPTIMAL ANGLE FOR NEEDLE INSERTION DURINGCAUDAL EPIDURAL STEROID INJECTION IN ADULTS USING ULTRASOUND IMAGING. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2018;20(8):0-0. Available from: https://sid.ir/paper/293799/en

IEEE: Copy

ERHAN GOKCEK, and AYHAN KAYDU, “DETERMINATION OF THE OPTIMAL ANGLE FOR NEEDLE INSERTION DURINGCAUDAL EPIDURAL STEROID INJECTION IN ADULTS USING ULTRASOUND IMAGING,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 20, no. 8, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/293799/en

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