Ultrasound Guided Investigation Of The Anatomical Features For Caudal Block In Children With Sacral Dimple

Istanbul University

Status: Completed

Conditions: Sacrococcygeal Disorder

Treatments: Device: ultrasound evaluation

Study type: Interventional

Funder types: Other

Identifiers

NCT04861935

72109855-604.01.01-231115

Details and patient eligibility

About

When dimples are detected in the sacral region, most practitioners consider it to be a sign of spinal anomaly and avoid caudal block. Ultrasound guided investigation of the anatomical features for caudal block in normal children and in children with sacral dimple will be informative for practitioners.

Full description

A dimple over the sacrum may be an isolated finding or a sign of underlying spinal abnormality. Therefore, most practitioners are confused to perform a caudal block. Ultrasonography is a safe and cost effective screening tool in pediatric patients. Ultrasound guided investigation of the anatomical features of sacral region may play a key role to eliminate suspicions. It is possible to detect spinal abnormalities and also measuring dural sac level, distance between dural sac and estimated needle insertion site or needle entry angle. In this study, we will examine whether there is a difference between normal children and children with dimple in the sacral region.

Enrollment: 120 patients

Sex: All

Ages: 1 to 72 months old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

-Children aged 1-72 months who are taken to the operating room for any reason

Exclusion Criteria: Patients with

• spinal anomalies,
• history of prematurity,
• neurological disorder
• syndromic illness.

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups, including a placebo group

ultrasound evaluation of sacral region in normal pediatric patients

Placebo Comparator group

Description:

Ultrasound evaluation of sacral region will be performed to detect spinal abnormality. Dural sac level and its distance to estmated injection site, optimal entry angle for caudal block will be measured.

Treatment:

Device: ultrasound evaluation

ultrasound evaluation of sacral region in patients with sacral dimple

Active Comparator group

Description:

Ultrasound evaluation of sacral region will be performed to detect spinal abnormality. Dural sac level and its distance to estmated injection site, optimal entry angle for caudal block will be measured.

Treatment:

Device: ultrasound evaluation