pm mfvt1
    • Main page
      • About journal
      • Articles. Working with contents
      • Editor-in-chief
      • Editorial Council
      • Editorial Board


      • For authors
      • Standards for formatting information
      • Reviewing
      • Politics editorial board
      • Ethics of journal publications


      • For advertisers
      • Subscription
      • About the Publishing House
      • Contact us
  • Application of ultrasound navigation to visualize the epidural space and to identify the correct placement of the catheter in a patient of younger preschool age

    Редактор | 2018, Brief reports, Practical medicine part 16 №7 (part 1) Innovative technologies in medicine (2018) | 31 октября, 2018

    P.P. SAFIN

    Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

     Safin R.R. ― D. Sc. (medicine), Chief Researcher, e-mail: [email protected], ORCID ID: 0000-0003-0960-7424

    The catheter insertion in the epidural space in children of younger preschool age should be performed under general anesthesia if serious surgery is planned for the lower extremities. This fact significantly limits the possibility of using the criteria of correct catheter insertion, that relates to adults, based on verbal contact with the patient and description of the nature of the sensations in the lower limbs that accompany the development of the epidural block. Such working conditions increase the percentage of errors and failures, since it is impossible to assess the correctness of the catheter insertion under the visual control. Ultrasound visualization of the vertebral canal and identification of its structures, such as the yellow ligament, epidural and subarachnoid space, makes it possible to reliably and safely install the catheter in the epidural space and monitor its position. At the same time, there is an opportunity to improve the reliability and safety of the epidural anesthesia itself. The article presents a clinical case of successful use of ultrasound imaging in which ultrasound control was used during the catheterization of the epidural space in a child with severe post-burn deformation of the lower limb at the age of 2 years and 10 months in order to ensure full anesthesia during surgery ― excision of the keloid scars that deform the lower limb.

    Key words: ultrasound imaging, catheterization of the epidural cavity.

     (For citation: P.P. Safin Application of ultrasound navigation to visualize the epidural space and to identify the correct placement of the catheter in a patient of younger preschool age. Practical Medicine. 2018)

    REFERENCES

    1. Teng W.N., Tsou M.Y., Chang W.K., Ning C.K. Eyes on the needle: Identification and confirmation of the epidural space. AJA, 2017, vol. 55, pp. 30-35.
    2. Voloshin A.G. Four-dimensional ultrasound guidance during epidural J. Ultrasound., 2014, vol. 18, no. 2, pp. 135-142.

    Метки: 2018, catheterization of the epidural cavity, P.P. SAFIN, Practical medicine part 16 №7 (part 1) Innovative technologies in medicine (2018), ultrasound imaging

    ‹ Experience in treatment of specific complications of blocked intramedullary osteosynthesis in diaphyseal fractures of the femur Role of matrix metalloproteinase in the development of pericardial effusion in patients with rheumatoid arthritis ›
    • rus Версия на русском языке


      usa English version site


      Findloupe

      

    • PARTNERS

      пов  logonew
    «Для
    Practical medicine. Scientific and practical reviewed medical journal
    All rights reserved ©