Key result
Various techniques exist for identifying the epidural space, including loss of resistance, hanging drop, and ultrasound, and the choice depends on the provider's skills, clinical situation, and resources.
This article reviews various techniques available to identify the epidural space for epidural anaesthesia.
Answers are grounded in this paper and cite their sources.
Individualize epidural identification by skills, setting, and resources; leaves comparative efficacy open for prospective trials.
Regional anaesthesia, because of its safety and accuracy has an important role in modern anaesthetic practice. Neuraxial anaesthesia has a great impact on all surgical fields and expands the anaesthesiologist’s armamentarium. Epidural anaesthesia becomes popular because of advantages like slower onset of action, controlled hypotension and bradycardia, segmental blockade, usefulness in neck and thoracic surgeries and also for the management of postoperative analgesia. The ability of epidural anaesthesia to produce neuraxial anaesthesia and analgesia without dural puncture provides an attractive alternative to spinal anaesthesia. Improvements in equipment, drugs and techniques, has made it popular and a versatile anaesthetic technique. Acceptance of epidural blockade is limited by the fear of failure, neurological complications or slow onset. The success lies on correct identification of epidural space. Hence, choosing a correct method is important. This article mentions various techniques available to identify epidural space that can be adapted. DOI: http://dx.doi.org/10.4038/slja.v19i2.2386 Sri Lankan Journal of Anaesthesiology Vol.19(2) 2011 pp.95-98
No takes yet. Share an insight, caveat, or question.
Akshaya N Shetti (2012) conducted a review in Epidural anaesthesia. Techniques for identification of epidural space was evaluated. Various techniques exist for identifying the epidural space, including loss of resistance, hanging drop, and ultrasound, and the choice depends on the provider's skills, clinical situation, and resources.
Synapse has enriched 10 related papers. Consider them for comparative context: