Retrospective review of spinal magnetic resonance images to determine the margin of safety for epidural analgesia in pediatric patients
Our results suggest that the margin of safety (dura-mater-SC distance and LF-SC distance) for performing epidurals in children may be greatest at the mid-thoracic spinal region. The measured ranges were very wide. Further studies are warranted to validate these findings in pediatric patients with other relevant "epidural placement" positions.
Authors
- Dana Archibald
- Laís Helena Navarro e Lima (ORCID: https://orcid.org/0000-0001-9596-7289)
- Leopoldo Muniz da Silva (ORCID: https://orcid.org/0000-0003-4703-0832)
- Rachel Phelan (ORCID: https://orcid.org/0000-0002-2928-8138)
- Ricardo Vieira Carlos (ORCID: https://orcid.org/0000-0002-5787-8979)
- Anthony M.‐H. Ho (ORCID: https://orcid.org/0000-0002-9721-4499)
- Fernando Nardy Bellicieri (ORCID: https://orcid.org/0000-0001-5137-4270)
- Rodrigo Moreira e Lima (ORCID: https://orcid.org/0000-0002-7699-8669)
- Glenio B. Mizubuti (ORCID: https://orcid.org/0000-0002-5515-829X)
- Arvin Haghighat
- Saullo Queiroz Silveira (ORCID: https://orcid.org/0000-0002-6110-5493)
- Vinícius Caldeira Quintão (ORCID: https://orcid.org/0000-0001-6459-7983)
- Fernando B Cançado
- Noah Letofsky
Institutions
- Queen's University (CA)
- Sociedade Brasileira de Anestesiologia (BR)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- University of Manitoba (CA)
- Universidade Estadual Paulista (Unesp) (BR)
Publication Details
- Journal
- Brazilian Journal of Anesthesiology (English Edition)
- Published
- 2025-10-17
- DOI
- https://doi.org/10.1016/j.bjane.2025.844687
- Primary Topic
- Anesthesia and Pain Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00