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Neuraxial ultrasonography has become popular in last decade in epidural space identification. It has been shown a safe and effective technique, with increasing use as an auxiliary to physical examination, enhances the overall success rate of lumbar puncture and reduces the number of injection attempts. Neuraxial procedures are commonly performed with wide range of therapeutic and diagnostic indications. Applications include neuraxial anesthesia for surgery, epidural labour analgesia, epidural steroid injections and lumbar punctures. The current blind palpation landmark technique is known to be highly inaccurate and may increase the risk of multiple insertion attempts, patient suffering and complication rates such as spinal cord injury.

Various clinical studies have confirmed the effectiveness of ultrasound imaging compared to the traditional palpation method. However, none of the present system can achieve real-time guidance.

Project Deliverables

The team aim to develop an ultrasound guided automated spinal landmark identification with real-time neuraxial needle insertion system with clinical study data.

Principal Investigator: Dr Sng Ban Leong

Institution: KK Women’s and Children’s Hospital, Singapore

NHIC Ref: NHIC-I2D-1708180



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