Depth of the thoracic epidural space in children.
Copyright policy )Depth of the thoracic epidural space in children.
Thoracic epidural anaesthesia in anaesthetized children requires a meticulous technique and may have an increased success rate when the distance between skin and epidural space is known. The objective of this observational study was to measure the skin to epidural distance (SED) during thoracic epidural puncture in 61 children. The epidural puncture was performed using the loss of resistance technique with saline 0.9%. The distance from the needle tip to the point where the needle emerged from the skin was measured. The post-operative analgesia parameters were also measured. Skin to epidural distance correlated significantly with the age and weight of the children. The equation for the relation between SED (cm) and age was 2.15 + (0.01 x months) and for SED vs weight was 1.95 + (0.045 x kg). Despite considerable variability among individuals, the observed correlation of SED with both age and weight shows that this parameter may be helpful to guide thoracic epidural puncture in anaesthetized children.
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- Radboud University Nijmegen Netherlands
- Bielefeld University Germany
Anesthesia, Epidural, Epidural Space, Male, Pain, Postoperative, DCN 1: Perception and Action, Adolescent, Infant, UMCN 5.1: Genetic defects of metabolism, Analgesia, Epidural, N4i 4: Auto-immunity, transplantation and immunotherapy, UMCN 2.1: Heart, lung and circulation, Needles, Child, Preschool, EBP 4: Quality of Care, Linear Models, Humans, Female, IGMD 8: Mitochondrial medicine, Prospective Studies, Child
Anesthesia, Epidural, Epidural Space, Male, Pain, Postoperative, DCN 1: Perception and Action, Adolescent, Infant, UMCN 5.1: Genetic defects of metabolism, Analgesia, Epidural, N4i 4: Auto-immunity, transplantation and immunotherapy, UMCN 2.1: Heart, lung and circulation, Needles, Child, Preschool, EBP 4: Quality of Care, Linear Models, Humans, Female, IGMD 8: Mitochondrial medicine, Prospective Studies, Child
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