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Papers of the Week

2022 Jun 25

BMC Anesthesiol



Real-time ultrasound-guided versus anatomic landmark-based thoracic epidural placement: a prospective, randomized, superiority trial.


Pakpirom J, Thatsanapornsathit K, Kovitwanawong N, Petsakul S, Benjhawaleemas P, Narunart K, Boonchuduang S, Karmakar M K
BMC Anesthesiol. 2022 Jun 25; 22(1):198.
PMID: 35752755.


Thoracic epidural placement (TEP) using the conventional anatomic landmark-based technique is technically challenging, may require multiple attempts, and is associated with a high failure rate (12-40%). We hypothesized that real-time ultrasound guidance would be superior in the "first-pass" success rate of TEP, when compared with the conventional technique.