Title |
Air versus saline in the loss of resistance technique for identification of the epidural space
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Published in |
Cochrane database of systematic reviews, July 2014
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DOI | 10.1002/14651858.cd008938.pub2 |
Pubmed ID | |
Authors |
Pedro L Antibas, Paulo do Nascimento Junior, Leandro G Braz, João Vitor Pereira Doles, Norma SP Módolo, Regina El Dib |
Abstract |
The success of epidural anaesthesia depends on correct identification of the epidural space. For several decades, the decision of whether to use air or physiological saline during the loss of resistance technique for identification of the epidural space has been governed by the personal experience of the anaesthesiologist. Epidural block remains one of the main regional anaesthesia techniques. It is used for surgical anaesthesia, obstetrical analgesia, postoperative analgesia and treatment of chronic pain and as a complement to general anaesthesia. The sensation felt by the anaesthesiologist from the syringe plunger with loss of resistance is different when air is compared with saline (fluid). Frequently fluid allows a rapid change from resistance to non-resistance and increased movement of the plunger. However, the ideal technique for identification of the epidural space remains unclear. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Canada | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | <1% |
Turkey | 2 | <1% |
Mexico | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 243 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 32 | 13% |
Researcher | 27 | 11% |
Other | 26 | 10% |
Student > Bachelor | 26 | 10% |
Student > Postgraduate | 15 | 6% |
Other | 50 | 20% |
Unknown | 73 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 120 | 48% |
Nursing and Health Professions | 17 | 7% |
Social Sciences | 6 | 2% |
Psychology | 5 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 2% |
Other | 14 | 6% |
Unknown | 83 | 33% |