Why obstetric epidurals fail: A study of epidurograms

International Journal of Obstetric Anesthesia

Volumn 5, Issue 1, 1996, Pages 19-31

  Collier, C B ^a,b  

^a Royal Hospital for Women   (Australia)

^b ROYAL HOSPITAL FOR WOMEN   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CONTRAST MEDIUM;

ARTICLE; CLINICAL ARTICLE; CONTRAST ENHANCEMENT; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL SPACE; FEMALE; HUMAN; OBSTETRIC ANESTHESIA; RADIOGRAPHY; SCOLIOSIS; TREATMENT FAILURE;

EID: 0030027487     PISSN: 0959289X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0959-289X(96)80070-7     Document Type: Article

References (37)

1. Tanaka K, Watanabe R, Harada T, Dan K. Extensive application of epidural anesthesia and analgesia in a university hospital: incidence of complications related to technique. Reg Anesth 1993; 18: 34-38.
2. Ducrow M. The occurrence of unblocked segments during continuous lumbar epidural analgesia for relief of pain in labour. Br J Anaesth 1971; 43: 1172-1173.
3. Hehre F W, Sayig J M, Lowman R M. Etiologic aspects of failure of continuous lumbar peridural anesthesia. Anesth and Analg 1960; 39: 511-517.
4. Collier C B, Gatt S P. A new epidural catheter. Closer eyes for safety? Anaesthesia 1993; 48: 803-806.
5. Collier C B, Gatt S P, Lockley S M. A continuous subdural block. Br J Anaesth 1993; 70: 462-465.
6. Michael S, Richmond M N, Birks R J S. A comparison between open-end (single-hole) and closed-end (three lateral holes) epidural catheters. Anaesthesia 1989; 44: 578-580.
7. Blomberg R. The dorsomedian connective tissue band in the lumbar epidural space of humans. An anatomical study using epiduroscopy in autopsy cases. Anesth Analg 1986; 65: 747-752.
8. Savolaine E R, Pandya J B, Greenblatt S H, Conover S R. Anatomy of the human lumbar epidural space: new insights using CT-epidurography. Anesthesiology 1988; 68: 217-220.
9. Hogan Q H, Lynch K, Lacitis I. Histologic features of epidural soft tissue and its relation to the dura and canal wall. Reg Anesth 1993; 18S: 54.
10. Nunn G, MacKinnon R P G. Two unilateral epidural blocks. Anaesthesia 1986; 41: 439-440.
11. Collier C B, Gatt S P. Epidural catheters for obstetrics. Terminal hole or lateral eyes? Reg Anesth 1994; 19: 378-385.
12. Iklé A. L'anésthesie péridurale continue en obstetrique. Technique speciale et experiences personelles. Rev Franc Gynec D'Obstet 1952; 47: 185-197.
13. Sanchez A, Acuna L, Rocha F. An analysis of the radiological visualization of the catheters placed in the epidural space. Br J Anaesth 1967; 39: 485-489.
14. Bridenbaugh L D, Moore D C, Bagdi P, Bridenbaugh P O. The position of plastic tubing in continuous-block techniques: an X-ray study of 552 patients. Anesthesiology 1968; 29: 1047-1049.
15. Moir D D, Willocks J. Epidural analgesia in British obstetrics. Br J Anaesth 1968; 40: 129-138.
16. Harrison G R, Clowes N W B. The depth of the lumbar epidural space from the skin. Anaesthesia 1985; 40: 685-687.
17. Watts R W. The influence of obesity on the relationship between body mass index and the distance of the epidural space from the skin. Anaesth Intensive Care 1993; 21: 309-310.
18. Doughty A. A precise method of cannulating the lumbar epidural space. Anaesthesia 1974; 29: 63-65.
19. Blomberg R G. Technical advantages of the paramedian approach for lumbar epidural puncture and catheter introduction. A study using epiduroscopy in autopsy subjects. Anaesthesia 1988; 43: 837-843.
20. Carrie L E S. The paramedian approach to the epidural space. Anaesthesia 1977; 32: 670-671.
21. Bishton I M, Martin P H, Vernon J M, Liu W H D. Factors influencing epidural catheter migration. Anaesthesia 1992; 47: 610-612.
22. Usubiaga J E, Reis A dos, Usubiaga L E. Epidural misplacement of catheters and mechanisms of unilateral blockade. Anesthesiology 1970; 32: 158-161.
23. Hatten H P. Lumbar epidurography with metrizamide. Radiology 1980; 137: 129-136.
24. Hogan Q H. Lumbar epidural anatomy. A new look by cryomicrotome section. Anesthesiology 1991; 75: 767-775.
25. McCormick C C. Radiology in low back pain and sciatica. An analysis of the relative efficacy of spinal venography, discography and epidurography in patients with a negative or equivocal myelogram. Clin Radiol 1978; 29: 393-406.
26. Savolaine E R. CT-epidurography and the anatomy of the human lumbar epidural space. Anesthesiology 1988; 69: 797-798.
27. Gaynor A. The lumbar epidural region: anatomy and approach. In: Reynolds F, ed. Epidural and spinal blockade in obstetrics. London: Balliere Tindall, 1990: 1-18.
28. Schachner S M, Abram S E. Use of two epidural catheters to provide analgesia of unblocked segments in a patient with lumbar disc disease. Anesthesiology 1982; 56: 150-151.
29. Moran D H, Johnson M D. Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis. Anesth Analg 1990; 70: 445-447.
30. Pascoe H F, Jennings G S, Marx G F. Successful spinal anesthesia after inadequate epidural block in a parturient with prior surgical correction of scoliosis. Reg Anesth 1993; 18: 191-192.
31. Magides A D, Richmond M N. Lumbar epidurography in multi-orifice and single orifice catheters. Reg Anesth 1992; 17: 3S-180.
32. Boezaart A P, Levendig B J. Epidural air-filled bubbles and unblocked segments. Can J Anaesth 1989; 36: 603-604.
33. Dalens B, Bazin J, Haberer J. Epidural bubbles as a cause of incomplete analgesia during epidural anesthesia. Anesth Analg 1987; 66: 679-683.
34. Aviles J, Barbaro N M, Drasner K. Pharmacology of descending hyperalgesia: Evidence for involvement of spinal cord kappa and alpha-adrenergic receptors. Anesthesiology 1993; 79(suppl): A906.
35. Golomb E, Langerman L, Benita S. Discrepancy between the development of tolerance to bupivacaine in extradural and spinal anaesthesia in rabbits. Br J Anaesth 1993; 71: 450-452.
36. Shanks C A. Four cases of unilateral epidural analgesia. Br J Anaesth 1968; 40: 999-1002.
37. Bromage P R. Epidural analgesia. Philadelphia: WB Saunders, 1978: 130-131.