Journal article

Should we abandon landmark-based technique for caudal anesthesia in neonates and infants?

Seyed Ali Mirjalili, Kiarash Taghavi, Geoff Frawley, Susan Craw

Pediatric Anesthesia | WILEY-BLACKWELL | Published : 2015


BACKGROUND: Caudal anesthesia is a landmark-based technique with ultrasound guidance occasionally used in the absence of landmarks. The current surface landmark remains a popular approach due to its desirable success rate. However, incomplete ossification of the posterior vertebral elements can make this procedure for neonatal caudal anesthesia difficult. The aim of this study was to describe the anatomical relationship of the posterior superior iliac spines (PSISs) to the sacral cornua in infants using ultrasound. METHODS: A total of 26 healthy infants (17 female; mean age 13 weeks) were scanned by an experienced radiologist in the prone position with hip and knee joints flexed. The PSISs a..

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