Unique ID issued by UMIN | UMIN000026223 |
---|---|
Receipt number | R000030094 |
Scientific Title | A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images |
Date of disclosure of the study information | 2017/03/01 |
Last modified on | 2017/02/20 15:49:37 |
A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images
Differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images
A study on differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images
Differences between the distance from the skin to the thoracic epidural space and from the skin to the thoracic cavity in CT images
Japan |
40 adult patients examined using thoracic CT scanning at surgery
Chest surgery | Anesthesiology |
Others
NO
We measured the distance from the skin to the epidural space and the thoracic cavity on the route for thoracic epidural catheterization in computed tomography (CT) images and assessed how structurally different the distance was.
Others
pneumothorax and catheter insertion into the thoracic cavity are avoided at puncture.
Others
Others
Not applicable
There was no significant difference between the distance from the skin to the epidural space and from the skin to the ipsilateral thoracic cavity in patients of either sex. On the other hand, the distance to the contralateral thoracic cavity was significantly longer than to the epidural space.Data from November 2014 and June 2015.
The distance from the skin to the epidural space and to the ipsilateral thoracic cavity was significantly shorter in the females than in the males.
Observational
40 | years-old | <= |
90 | years-old | >= |
Male and Female
Patients meeting the inclusion criteria of age: 20 years and over, height: standard height, and weight: standard weight were selected as the subjects for the present study to investigate distance differences in patients with a standard Japanese physique.
none
40
1st name | |
Middle name | |
Last name | Isao Tsuneyoshi |
University of Miyazaki
Department of Anesthesiology and Critical Care, Faculty of Medicine
5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan
0985-85-9357
isao45@med.miyazaki-u.ac.jp
1st name | |
Middle name | |
Last name | Isao Tsuneyoshi |
University of Miyazaki
Anesthesiology and Critical Care, Faculty of Medicine
5200 Kihara, Kiyotake, Miyazaki, 889-1692, Japan
0985-85-9357
isao45@med.miyazaki-u.ac.jp
Anesthesiology and Critical Care, Faculty of Medicine, University of Miyazaki
University of Miyazaki
Other
NO
2017 | Year | 03 | Month | 01 | Day |
Partially published
Because the distance from the skin to the thoracic cavity on the puncture side was nearly the same as the distance from the skin to the epidural space in the paramedian approach, it has become clear that even when puncture for thoracic epidural anesthesia is performed at an angle for the paramedian approach, the needle might actually be inserted by accident at an angle similar to that for the median approach due to inadequate body positioning and spinal deformation, resulting in an increased risk of accidental perforation of the ipsilateral thoracic cavity.
Completed
2014 | Year | 11 | Month | 01 | Day |
2014 | Year | 11 | Month | 01 | Day |
2015 | Year | 07 | Month | 31 | Day |
2015 | Year | 07 | Month | 31 | Day |
2015 | Year | 07 | Month | 31 | Day |
2017 | Year | 02 | Month | 25 | Day |
It is also suggested that the risk of perforation of the thoracic cavity is higher in females.
2017 | Year | 02 | Month | 20 | Day |
2017 | Year | 02 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030094