Identification of epidural space using air and normal saline

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Identification of the epidural space: stop using the loss of resistance to air technique!

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Success of spinal and epidural labor analgesia: comparison of loss of resistance technique using air versus saline in combined spinal-epidural labor analgesia technique.

BACKGROUND Comparison of air versus saline for loss of resistance technique (LORT) in combined spinal epidural labor analgesia (CSE) has not been evaluated, and neither has the relation between CSE characteristics (the presence/absence of initial spontaneous clear fluid return or upon aspiration) and spinal/epidural analgesia outcomes. The authors hypothesized that there is no difference in the...

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Labor epidural anesthetics comparing loss of resistance with air versus saline: does the choice matter?

This study examined whether air or saline, used for the loss-of-resistance (LOR) technique, resulted in a difference in pain relief or adverse events for laboring parturients. Previous studies had mixed findings regarding the onset of analgesia and subsequent pain relief. Research questions were as follows: Is there difference in analgesic onset for patients receiving air vs saline during the L...

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Epidural 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...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2001

ISSN: 0003-2409

DOI: 10.1046/j.1365-2044.2001.01976-45.x