The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?

BACKGROUND: We investigated the value of using contrast as an additional aid to confirm the accuracy of needle placement for caudal epidural injections under intraoperative image intensifier guidance. METHODS: A total of 252 consecutive patients were included in this study. Their mean age was 46.7 y...

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Detalles Bibliográficos
Autores principales: Naidoo, Kamil, Alazzawi, Sulaiman, Montgomery, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435657/
https://www.ncbi.nlm.nih.gov/pubmed/28567221
http://dx.doi.org/10.4055/cios.2017.9.2.190
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author Naidoo, Kamil
Alazzawi, Sulaiman
Montgomery, Alexander
author_facet Naidoo, Kamil
Alazzawi, Sulaiman
Montgomery, Alexander
author_sort Naidoo, Kamil
collection PubMed
description BACKGROUND: We investigated the value of using contrast as an additional aid to confirm the accuracy of needle placement for caudal epidural injections under intraoperative image intensifier guidance. METHODS: A total of 252 consecutive patients were included in this study. Their mean age was 46.7 years (range, 32 to 76 years). There were 133 males (53%) and 119 females (47%) over a 12-month period. RESULTS: Of the 252 consecutive procedures, the contrast enhanced image intensifier confirmed accurate needle placement on first attempt in 252 cases (100%). Needle resiting following the infiltration of contrast was required in 0 case. CONCLUSIONS: The results from this study demonstrate that a surgeon beyond the learning curve can accurately place caudal epidural injections using image intensification only, without the use of contrast.
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spelling pubmed-54356572017-06-01 The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary? Naidoo, Kamil Alazzawi, Sulaiman Montgomery, Alexander Clin Orthop Surg Original Article BACKGROUND: We investigated the value of using contrast as an additional aid to confirm the accuracy of needle placement for caudal epidural injections under intraoperative image intensifier guidance. METHODS: A total of 252 consecutive patients were included in this study. Their mean age was 46.7 years (range, 32 to 76 years). There were 133 males (53%) and 119 females (47%) over a 12-month period. RESULTS: Of the 252 consecutive procedures, the contrast enhanced image intensifier confirmed accurate needle placement on first attempt in 252 cases (100%). Needle resiting following the infiltration of contrast was required in 0 case. CONCLUSIONS: The results from this study demonstrate that a surgeon beyond the learning curve can accurately place caudal epidural injections using image intensification only, without the use of contrast. The Korean Orthopaedic Association 2017-06 2017-05-08 /pmc/articles/PMC5435657/ /pubmed/28567221 http://dx.doi.org/10.4055/cios.2017.9.2.190 Text en Copyright © 2017 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Naidoo, Kamil
Alazzawi, Sulaiman
Montgomery, Alexander
The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title_full The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title_fullStr The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title_full_unstemmed The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title_short The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
title_sort use of contrast in caudal epidural injections under image intensifier guidance: is it necessary?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5435657/
https://www.ncbi.nlm.nih.gov/pubmed/28567221
http://dx.doi.org/10.4055/cios.2017.9.2.190
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