More on epidural needle wings

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Pioneers in epidural needle design.

IMPLICATIONS In this article we discuss the development of epidural needles and the historical factors leading to their invention. The most popular needles are described and their inventors acknowledged.

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Effects of epidural needle rotation and different speeds of injection on the distribution of epidural block.

BACKGROUND AND OBJECTIVES This prospective, randomised study examined the effect of injection speeds for unilateral epidural anesthesia on block characteristics, hemodynamic parameters, and discharge criteria in 60 patients. Levobupivacaine 5% was administered to Group F over 1 min (fast) and to Group S over 3 min (slow) (n=30 each) with the needle angulated at 5°-10° from the midline. Unilater...

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Vertical Small-Needle Caudal Epidural Injection Technique

BACKGROUND Anecdotal evidence suggests that a vertical small-needle injection method enters the caudal epidural space with comparable efficacy to cephalad-directed methods, with less intravascular injection. OBJECTIVES Assess the success rate of vertical caudal epidural injection using epidurography and the frequency of intravascular injection using a vertical small-needle approach. PATIENT...

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Ultrasound guidance in caudal epidural needle placement.

BACKGROUND This study was conducted to investigate the feasibility of using ultrasound as an image tool to locate the sacral hiatus accurately for caudal epidural injections. METHODS Between August 2002 and July 2003, 70 patients (39 male and 31 female patients) with low back pain and sciatica were studied. Soft tissue ultrasonography was performed to locate the sacral hiatus. A 21-gauge caud...

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vertical small-needle caudal epidural injection technique

results first needle placement without imaging resulted in blood return in 1/199 participants and positive epidurography in 179/199 (90%). minimal needle repositioning resulted in a positive epidurogram in the remaining 19 attempts. no intravascular injection patterns were observed. conclusions this compares favorably to published success rates of fluoroscopically-guided technique and was well ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2006

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.2006.04594.x