Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ultrasound evaluation of sacral region in normal pediatric patients | Placebo Comparator | 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. |
|
| ultrasound evaluation of sacral region in patients with sacral dimple | Active Comparator | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasound evaluation | Device | ultrasound evaluation of normal patients and patients who have a sacral dimple |
|
| Measure | Description | Time Frame |
|---|---|---|
| ultrasound measurement-1 | Dural sac level (mm) | 1 min |
| ultrasound measurement-2 | distance between injection site and dural sac(mm) | 1 min |
| ultrasound measurement-3 | optimal entry angle (0-angle degree) for caudal block | 1 min |
| Measure | Description | Time Frame |
|---|---|---|
| ultrasound evaluation of sacral region | searching for spinal abnormalites in patients with sacral dimple | 10 minutes |
Not provided
Inclusion Criteria:
-Children aged 1-72 months who are taken to the operating room for any reason
Exclusion Criteria: Patients with
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Guner Kaya, Prof. | Istanbul University - Cerrahpasa | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University Cerrahpasa | Istanbul | 34000 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21981093 | Background | Schwartz D, Al-Najjar H, Connelly NR. Caudal block in a child with a sacral dimple utilizing ultrasonography. Paediatr Anaesth. 2011 Oct;21(10):1073-4. doi: 10.1111/j.1460-9592.2011.03621.x. No abstract available. | |
| 29963103 | Background | Choi JH, Lee T, Kwon HH, You SK, Kang JW. Outcome of ultrasonographic imaging in infants with sacral dimple. Korean J Pediatr. 2018 Jun;61(6):194-199. doi: 10.3345/kjp.2018.61.6.194. Epub 2018 Jun 25. |
Not provided
Not provided
There is not a plan to make IPD available.
Not provided
Not provided
Not provided
Not provided
Not provided
Two groups were formed as those with and without dimples in the sacral region.
Not provided
Not provided
Not provided
Not provided