{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:23:39Z","timestamp":1761157419337,"version":"build-2065373602"},"reference-count":27,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2022,8,20]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Real-time ultrasound-guided thoracic epidural catheter placement (US-TECP) has been recently introduced. Patient\u2019s position is associated with the success of spine interventions; however, the effects of position on the outcome of the procedure remain unknown. We aimed to assess the clinical usefulness of patient positioning during real-time US-TECP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients were randomly assigned to the prone position group (group P) and sitting position group (group S). The primary outcome was needling time during the procedure. The secondary outcomes were time to mark space, total number of needle passes, number of skin punctures, first-pass success, final success, crossover success, and visibility of ultrasound (US) views. Global Rating Scale (GRS) score, Patient Comfort Scale score, procedural pain intensity, patient satisfaction, and procedure-related complications were also determined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sixty-four patients were included in this study. The needling time was significantly shorter in group P than in group S (36.5 (26.5\u201351.0) vs 59.5 (34.5\u2013152.0)\u2009s, p&lt;0.01). The numbers of needle passes and skin punctures were significantly lesser in group P than in group S. First-pass success was higher in group P than in group S. Group P had higher GRS compared with group S. The time to mark space, final success, US visibility score, Patient Comfort Scale score, procedural pain intensity, and patient satisfaction did not differ between the groups. One patient in group S developed a vasovagal reaction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This study shows that prone position may be preferred for real-time US-TECP, considering its better clinical usefulness.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration number<\/jats:title>\n                  <jats:p>KCT0005757.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rapm-2022-103786","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T11:05:12Z","timestamp":1662116712000},"page":"738-743","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Comparison of sitting and prone positions for real-time ultrasound-guided thoracic epidural catheter placement: a randomized controlled trial"],"prefix":"10.1136","volume":"47","author":[{"given":"Sojin","family":"Shin","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Uijeongbu Eulji University Hospital, Uijeongbu, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0952-3900","authenticated-orcid":false,"given":"Jong-Hyuk","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun-Jung","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongseok","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Veterans Health Service Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakmoo","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Veterans Health Service Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3875-0857","authenticated-orcid":false,"given":"Doo-Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-Moon","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,2]]},"reference":[{"key":"2025101109515054000_47.12.738.1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.4103\/joacp.JOACP_238_16","article-title":"Enhanced recovery after surgery: An anesthesiologist\u2019s perspective","volume":"35","author":"Moningi","year":"2019","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"2025101109515054000_47.12.738.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-020-01956-1"},{"key":"2025101109515054000_47.12.738.3","doi-asserted-by":"crossref","first-page":"191","DOI":"10.3344\/kjp.2018.31.3.191","article-title":"Comparison of patient-controlled epidural analgesia with patient-controlled intravenous analgesia for laparoscopic radical prostatectomy","volume":"31","author":"Hwang","year":"2018","journal-title":"Korean J Pain"},{"key":"2025101109515054000_47.12.738.4","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes214"},{"key":"2025101109515054000_47.12.738.5","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000237291.30499.32"},{"key":"2025101109515054000_47.12.738.6","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000540"},{"key":"2025101109515054000_47.12.738.7","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000761"},{"key":"2025101109515054000_47.12.738.8","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2021-102578"},{"key":"2025101109515054000_47.12.738.9","doi-asserted-by":"crossref","first-page":"93","DOI":"10.4055\/jkoa.2015.50.2.93","article-title":"Ultrasound-Guided intervention in thoracic spine","volume":"50","author":"Moon","year":"2015","journal-title":"J Korean Orthop Assoc"},{"key":"2025101109515054000_47.12.738.10","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep079"},{"key":"2025101109515054000_47.12.738.11","doi-asserted-by":"publisher","DOI":"10.1136\/rapm-2020-101641"},{"key":"2025101109515054000_47.12.738.12","unstructured":"Comfort scale. 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Atlas of ultrasound-guided procedures in interventional pain management. 1st ed. 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