Why the study?
Does the epidural test dose accurately detect intravascular, intrathecal, or subdural epidural needle/catheter misplacement in various patient populations?
Population
Nonpregnant adult patients, pregnant patients, and children undergoing epidural procedures
Design
Systematic_review
Authors
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Epinephrine test dose supports reliable intravascular detection in nonpregnant adults and children; confirms fentanyl performance in pregnancy while leaving intrathecal/subdural evidence open.
Does the epidural test dose accurately detect intravascular, intrathecal, or subdural epidural needle/catheter misplacement in various patient populations?
The epinephrine test dose is recommended for detecting intravascular epidural misplacement in nonpregnant adults and children, but more studies are needed for intrathecal/subdural misplacements and for pregnant women.
Joanne Guay (2006) studied this question.
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