RT Journal Article
SR Electronic
T1 The role of ultrasound guidance in pediatric caudal block
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 147
OP 150
DO 10.15537/smj.2016.2.13501
VO 37
IS 2
A1 Erbüyün, Koray
A1 Açıkgöz, Barış
A1 Ok, Gülay
A1 Yılmaz, Ömer
A1 Temeltaş, Gökhan
A1 Tekin, İdil
A1 Tok, Demet
YR 2016
UL http://smj.org.sa/content/37/2/147.abstract
AB Objectives: To compare the time interval of the procedure, possible complications, post-operative pain levels, additional analgesics, and nurse satisfaction in ultrasonography-guided and standard caudal block applications.Methods: This retrospective study was conducted in Celal Bayar University Hospital, Manisa, Turkey, between January and December 2014, included 78 pediatric patients. Caudal block was applied to 2 different groups; one with ultrasound guide, and the other using the standard method.Results: The time interval of the procedure was significantly shorter in the standard application group compared with ultrasound-guided group (p=0.020). Wong-Baker FACES Pain Rating Scale values obtained at the 90th minute was statistically lower in the standard application group compared with ultrasound-guided group (p=0.035). No statistically significant difference was found on the other parameters between the 2 groups. The shorter time interval of the procedure at standard application group should not be considered as a distinctive mark by the pediatric anesthesiologists, because this time difference was as short as seconds.Conclusion: Ultrasound guidance for caudal block applications would neither increase nor decrease the success of the treatment. However, ultrasound guidance should be needed in cases where the detection of sacral anatomy is difficult, especially by palpations.