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

Reg Anesth Pain MedPublished Retrospective case series

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

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