An Alternative Approach to Needle Placement in Cervicothoracic Epidural Injections.
10.3344/kjp.2012.25.3.183
- Author:
Seung Yong PARK
1
;
Jung Gil LEEM
;
Sung Hwan JUNG
;
Young Ki KIM
;
Won Uk KOH
Author Information
1. Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, University of Ulsan Collage of Medicine, Gangneung, Korea. ykkim@gnah.co.kr
- Publication Type:Case Report
- Keywords:
alternative;
epidural;
fluoroscopy;
oblique
- MeSH:
Epidural Space;
Fluoroscopy;
Injections, Epidural;
Needles
- From:The Korean Journal of Pain
2012;25(3):183-187
- CountryRepublic of Korea
- Language:English
-
Abstract:
The use of fluoroscopy guidance together with the loss of resistance technique during epidural injections has been advocated lately; moreover, epidural injections in the absence of fluoroscopic guidance have a high rate of inaccurate needle-tip placement during the injections. However, the approach to the lower cervical and upper thoracic epidural space may be challenging due to its obscure lateral fluoroscopic views from overlying normal tissue structures. In this case, we report an alternative oblique C-arm fluoroscopy guided view approach to supplement the standard anterior-posterior and lateral fluoroscopic views to facilitate successful needle placement and precise anatomical localization of the epidural space.
