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Skeletal Radiology
Published in: Skeletal Radiology 12/2017

01-12-2017 | Scientific Article

The influence of epidural catheter on the incidence of intravascular injection during caudal block

Authors: Jin Young Lee, Sung Hyun Lee, Woo Seog Sim, Duk Kyung Kim, Sang Hoon Lee, Hyo Min Yun, Hue Jung Park

Published in: Skeletal Radiology | Issue 12/2017

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Abstract

Objective

The aim of this study was to analyze the influence of epidural catheters on the incidence of intravascular injection and to identify possible predictors of intravascular injection in patients undergoing a caudal block using fluoroscopy.

Methods

A total of 154 patients scheduled to receive a caudal block were randomized into group N (those without epidural catheter) or group C (those with epidural catheter). Demographic and clinical data were recorded and analyzed.

Results

The incidence of intravascular injection was 15.6% in group N, 6.5% in group C, and 11.0% overall, without statistical differences between the two groups (P = 0.105). Univariate analysis revealed that blood at hub (P = 0.047) and positive aspiration test (P = 0.045) were more frequently observed in group N than in group C. Quality of analgesia was significantly higher in group C than in group N (P = 0.029). Multivariate analysis identified older age (P = 0.024), blood at hub (P = 0.003), and positive aspiration test (P = 0.001) as predictors of intravascular injection.

Conclusions

In this study, while the incidence of intravascular injection during caudal blocks was less frequent with epidural catheter use, it was not statistically significant. However, a caudal block using an epidural catheter provided a lower incidence of blood at hub, fewer positive aspiration tests, and superiority in pain improvement.
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Metadata
Title
The influence of epidural catheter on the incidence of intravascular injection during caudal block
Authors
Jin Young Lee
Sung Hyun Lee
Woo Seog Sim
Duk Kyung Kim
Sang Hoon Lee
Hyo Min Yun
Hue Jung Park
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 12/2017
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-017-2740-4

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