Ultrasound Imaging for Thoracic Epidural Insertion

Ultrasound imaging of the thoracic spine to guide epidural insertion. An extended video that includes a discussion of confirming epidural location, advancing and securing the catheter can be found at https://youtu.be/1aHkT4rJSnA
0:09 - Morphology of the thoracic spine
0:40 - Lumbar vs thoracic vertebra
1:11 - Transverse view on US
2:08 - Parasagittal oblique view on US
3:01 - How US imaging helps in epidural insertion
4:23 - Examples of difficult thoracic interspaces
5:01 - Importance of the lateral-to-medial angle
6:02 - Caudal-to-cranial needle trajectory
6:48 - Estimating needle insertion depth
8:05 - Video of thoracic epidural insertion
9:53 - Identifying intervertebral levels with US
10:31 - How to count down from the first rib

Видео Ultrasound Imaging for Thoracic Epidural Insertion канала Ki-Jinn Chin