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Techniques: Ultrasound-Guided Regional Anesthesia CAUDAL EPIDURAL BLOCK. Curve probe.
Frog sign.-
Is an aid to the location of the puncture site (sacrococcygeal membrane) to caudal block
How To....
Punture outside plane and short axis at the midpoint of the image below the probe until contact withthe sacrum and perform some millimeters withdraw saline test
Pumping sign.-
Is an aid to the safety of drug administration in the caudal epidural space
This is a safety sign confirms caudal epidural administration when it is difficult to appreciate the location of the needle into the epidural space.
How To....
With anesthetic administration in pulses synchronously seen distention of the epidural space.
Resume:
These signs are used when aid is not possible with a caudal block linear probe, the need for in-depth location in certain situations conditioned by the position or obesity.
This is a safety sign confirms caudal epidural location and administration when it is difficult to appreciate the needle into the epidural space.