Türk çocuklarında lomber epidural derinlik
P. Bozkurt1, G. Kaya2, Y. Yeker3, Ö Demirci3, S. Demirci3, Y. Tunalı3, F. Altıntaş3
1İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Doç. Dr.
2İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Prof. Dr
3İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Uzm. Dr
Keywords: Epidural depth, Turkish children
Abstract
The depth of epidural space is variable in children because of their sizes. The purpose of this study is to find out relation between epidural depth and age and the constitute in Turkish children. Three hundred patients who had lumbar epidural injections as a part of their anesthetic management, ages ranging from 6 days to 18 years included in this study. Length of epidural needle when reached to epidural space, age, weight, height and body surface area (BSA) of the patients were recorded. Patients are stratified according to age groups, 0-1 years (n=37), 1-5 years (n=133), 5-10 years (n=75) and 10-18 years (n=55). Regression correlation analysis was performed. The formulas and level of correlations for epidural depth (cm) at L4-L5 were as follows:
- 0.15 (age in years)+1.35, r2=0.63
- 0.004 (height in cm)+1.7, r2=0.58
- 0.058 (weight in kg)+1.04, r2=0.67
- 2.11 (BSA in m2)+0.59, r2=0.71
The best correlation coefficient achieved by epdidural depth and BSA. Best corelation observed, in 5-10 years old group.