Pediatric anesthesia & critical care
Transesophageal echocardiography for thoracic spinal cord imaging and confirmation of epidural catheter placement in pediatrics
Main finding · Thoracic spinal segments visualizedResult — go to the resultDifference 29% 95% CI 23–34Authors' conclusion
This observational study demonstrated the successful visualization of the thoracic spinal cord at virtually every level in pediatric patients. A subsequent case series demonstrated that TEE could be used to successfully confirm the position of the epidural catheter in the targeted thoracic spinal segment for pediatric surgical patients.
Study context
- Population
- Pediatric and adult subjects undergoing transesophageal echocardiography (TEE); case series of pediatric surgical patients with epidural catheter placementplus 20 in case series
- Participants
- 75 participants
- Exposure
- Pediatric vs Adult
- Pediatricn = 50
- Adultn = 25reference
- Outcome
- Thoracic spinal segments visualized with TEE (spinal cord, cerebrospinal fluid, dura mater, epidural space)
Methodological detailssubsequent prospective case series
- Subsequent prospective case series
Main finding
Thoracic spinal segments visualized
Difference
29%
95% CI 23–34
P < 0.001
Events by group
Pediatric vs Adult
difference 29% (95% CI 23–34); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
Case series: successful caudal or epidural catheter placement at target spinal level
- Successful placement at target level, of 20 pediatric surgical patients
- 17
Original publication
Transesophageal echocardiography for thoracic spinal cord imaging and confirmation of epidural catheter placement in pediatrics. J Clin Anesth. Published 9 September 2023. doi:10.
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