shOUlD wE abaNDON thE "lOss Of rEsIstaNcE tO aIr" tEchNIqUE DUrINg EpIDUral aNaEsthEsIa?
نویسنده
چکیده
Received for publication: May 19, 2006. Revised: Jul. 25, 2006. rEZUMat Department of Anaesthesia, University Hospital Antwerp, Belgium
منابع مشابه
Pneumocephalus Following Combined Spinal Epidural Anaesthesia for Total Knee Arthroplasty: A Case Report
The authors describe a case of pneumocephalus following epidural anaesthesia for total knee arthroplasty. Multiple attempts in locating the epidural space for the anaesthesia and the use of loss of resistance to air (LORA) technique were identified as the source of air entry. Supportive management was given including high flow oxygenation therapy and spontaneous reabsorption of air was noted fi...
متن کاملLoss of resistance to saline reduces responses accompanying spinal needle insertion during institution of 'needle-through-needle' combined spinal-epidural analgesia.
Normal saline or air is used to identify loss of resistance during identification of the epidural space for combined spinal-epidural analgesia. Following epidural needle placement using air for loss of resistance, up to 80% of parturients move, grimace, vocalise or experience paraesthesia or dysaesthesia during subsequent dural puncture by a spinal needle. We compared the effects of saline vers...
متن کاملPosterior epidural space depth: safety of the loss of resistance and hanging drop techniques.
We have compared skin to epidural space distance (SED) and tip to tip distance (TTD), a measure of posterior epidural space depth (PESD), in 40 patients with a 27-gauge Whitacre needle after identification of the epidural space using the hanging drop (HD) or loss of resistance (LOR) to air technique. After the LOR technique, TTD was found to be 2 mm greater than that after the HD technique, whe...
متن کاملEvidence for using air or fluid when identifying the epidural space.
Lumbar epidural analgesia is frequently employed to provide pain relief for women during labor. Anesthesia providers use various methods to identify the epidural space. Some providers use air, some use fluid, and others use a combination of air and fluid during the loss of resistance technique. Loss of resistance to air has been speculated to result in a lesser quality of analgesia compared wit...
متن کاملEpidural analgesia using loss of resistance with air versus saline: does it make a difference? Should we reevaluate our practice?
The choice of using air or saline in epidural syringes during the loss-of-resistance technique, for identifying the epidural space, has been based largely on personal preference of the anesthesia provider. A survey of practice in the United Kingdom, thought to be similar to practice in the United States, revealed that the majority of anesthesia providers use air. Case reports have appeared in t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2007