Cardiothoracic & vascular anesthesia
Real-time ultrasound-guided mid-thoracic epidural access using a novel paramedian cross (PX) view and drip infusion technique: a brief technical report
Authors' conclusion
The combination of the PX view and the drip infusion method proved effective for real-time ultrasound-guided MTE catheter placement.
Study context
- Population
- Patients undergoing USG-MTE catheter placement, January to December 2022 (42 median sternotomy, 3 fractured ribs, 3 upper abdominal laparotomies, 2 modified radical mastectomies, 1 thoracotomy)
- Participants
- 51 patients
- Outcome
- First-attempt success (epidural space identified at first needle entry)
Methodological detailsbrief technical report
- Brief technical report
Main finding
As reported in the abstract
- Satisfactory PX view obtained
- all patients
- Epidural space identified during first needle entry
- 49
- First-attempt success rate
- 96%
- Needle redirections required
- 7
- Second needle entry needed
- 2
Observational data: associations, not effects.
Safety
- No technique-related complications documented
Original publication
Real-time ultrasound-guided mid-thoracic epidural access using a novel paramedian cross (PX) view and drip infusion technique: a brief technical report. Reg Anesth Pain Med. Published 21 February 2024. doi:10. 1136/ rapm-2023-105071
Composed by AI from the published abstract and checked against it. How Briefs are made →