Anesthesiology and Pain Medicine

Published by: Kowsar

Vertical Small-Needle Caudal Epidural Injection Technique

Liza Maniquis Smigel 1 , Kenneth Dean Reeves 2 , 3 , * , Howard Jeffrey Rosen 4 and David Patrick Rabago 5
Authors Information
1 Private Practice PM&R and Pain Management, Hawaii, USA
2 Private Practice PM&R and Pain Management, Roeland Park, Kansas, USA
3 Past Clinical Assistant/Associate Professor, Department of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas City, Kansas, USA
4 Private Practice Anesthesiology and Pain Management Anaheim and Monterey, California, USA
5 Department of Family Medicine and Community Health, University of Wisconsin, School of Medicine and Public Health, Madison, USA
Article information
  • Anesthesiology and Pain Medicine: June 01, 2016, 6 (3); e35340
  • Published Online: May 10, 2016
  • Article Type: Brief Report
  • Received: December 14, 2015
  • Revised: February 13, 2016
  • Accepted: March 2, 2016
  • DOI: 10.5812/aapm.35340

To Cite: Maniquis Smigel L, Dean Reeves K, Jeffrey Rosen H, Patrick Rabago D. Vertical Small-Needle Caudal Epidural Injection Technique, Anesth Pain Med. 2016 ; 6(3):e35340. doi: 10.5812/aapm.35340.

Abstract
Copyright © 2016, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
Acknowledgements
Footnote
References
  • 1. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003; 81(9): 646-56[PubMed]
  • 2. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008; 8(1): 8-20[DOI][PubMed]
  • 3. Chen CP, Lew HL, Tang SF. Ultrasound-guided caudal epidural injection technique. Am J Phys Med Rehabil. 2015; 94(1): 82-4[DOI][PubMed]
  • 4. Renfrew DL, Moore TE, Kathol MH, el-Khoury GY, Lemke JH, Walker CW. Correct placement of epidural steroid injections: fluoroscopic guidance and contrast administration. AJNR Am J Neuroradiol. 1991; 12(5): 1003-7[PubMed]
  • 5. Park Y, Lee JH, Park KD, Ahn JK, Park J, Jee H. Ultrasound-guided vs. fluoroscopy-guided caudal epidural steroid injection for the treatment of unilateral lower lumbar radicular pain: a prospective, randomized, single-blind clinical study. Am J Phys Med Rehabil. 2013; 92(7): 575-86[DOI][PubMed]
  • 6. Maniquis-Smigel L, Reeves KD, Lyftogt J, Rabago D. Analgesic effect of caudal 5% dextrose in water in chronic low back pain (abs). Arch Phys Med Rehabil. 2015; 96(10): 103[DOI]
  • 7. Imani F, Entezary SR, Alebouyeh MR, Parhizgar S. The maternal and neonatal effects of adding tramadol to 2% lidocaine in epidural anesthesia for cesarean section. Anesth Pain Med. 2011; 1(1): 25-9[DOI][PubMed]
  • 8. Waldman SD. Caudal epidural nerve block. 2011; : 1248-57[DOI]
  • 9. Price CM, Rogers PD, Prosser AS, Arden NK. Comparison of the caudal and lumbar approaches to the epidural space. Ann Rheum Dis. 2000; 59(11): 879-82[PubMed]
  • 10. Stitz MY, Sommer HM. Accuracy of blind versus fluoroscopically guided caudal epidural injection. Spine (Phila Pa 1976). 1999; 24(13): 1371-6[PubMed]
  • 11. Barham G, Hilton A. Caudal epidurals: the accuracy of blind needle placement and the value of a confirmatory epidurogram. Eur Spine J. 2010; 19(9): 1479-83[DOI][PubMed]
  • 12. White AH, Derby R, Wynne G. Epidural injections for the diagnosis and treatment of low-back pain. Spine (Phila Pa 1976). 1980; 5(1): 78-86[PubMed]
  • 13. Chen CP, Tang SF, Hsu TC, Tsai WC, Liu HP, Chen MJ, et al. Ultrasound guidance in caudal epidural needle placement. Anesthesiology. 2004; 101(1): 181-4[PubMed]
  • 14. Blanchais A, Le Goff B, Guillot P, Berthelot JM, Glemarec J, Maugars Y. Feasibility and safety of ultrasound-guided caudal epidural glucocorticoid injections. Joint Bone Spine. 2010; 77(5): 440-4[DOI][PubMed]
  • 15. Doo AR, Kim JW, Lee JH, Han YJ, Son JS. A Comparison of Two Techniques for Ultrasound-guided Caudal Injection: The Influence of the Depth of the Inserted Needle on Caudal Block. Korean J Pain. 2015; 28(2): 122-8[DOI][PubMed]
  • 16. Sekiguchi M, Yabuki S, Satoh K, Kikuchi S. An anatomic study of the sacral hiatus: a basis for successful caudal epidural block. Clin J Pain. 2004; 20(1): 51-4[PubMed]
  • 17. el-Khoury GY, Ehara S, Weinstein JN, Montgomery WJ, Kathol MH. Epidural steroid injection: a procedure ideally performed with fluoroscopic control. Radiology. 1988; 168(2): 554-7[DOI][PubMed]
  • 18. Chen CP, Wong AM, Hsu CC, Tsai WC, Chang CN, Lin SC, et al. Ultrasound as a screening tool for proceeding with caudal epidural injections. Arch Phys Med Rehabil. 2010; 91(3): 358-63[DOI][PubMed]
  • 19. Manchikanti L, Malla Y, Wargo BW, Cash KA, Pampati V, Fellows B. A prospective evaluation of complications of 10,000 fluoroscopically directed epidural injections. Pain Physician. 2012; 15(2): 131-40[PubMed]
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