Key result
Modifying a standard syringe with a sterile glove enables two-handed identification of the epidural space.
Why the study?
The superiority of saline versus air in detecting loss of resistance for epidural space identification remains debated, and expensive syringes designed for saline use limit accessibility.
Comparison
Modified loss of resistance syringe using saline vs Episure Autodetect syringe
Design
Descriptive technique report comparing modified syringe to commercial syringe
Authors
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May offer low-cost saline-based epidural identification; leaves open performance versus commercial syringes in larger trials.
A simple, inexpensive modification using a sterile glove and regular syringe provides a comparable loss of resistance technique to commercial auto-detect syringes for epidural space identification.
Dhansura et al. (2015) studied Epidural anaesthesia. Modified loss of resistance syringe using a sterile glove and saline was evaluated. A simple, inexpensive modification to a standard syringe using a sterile glove allows for a 'both hands on needle' technique with saline to identify the epidural space.
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