Identification of the epidural space: Loss of resistance with air, lidocaine, or the combination of air and lidocaine

Anesthesia and Analgesia

Volumn 99, Issue 1, 2004, Pages 245-250

  Evron, Samuel ^a,b   Sessler, Daniel ^c   Sadan, Oscar ^a,b   Boaz, Mona ^a,b   Glezerman, Marek ^a,b   Ezri, Tiberiu ^a,b  

^a WOLFSON MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

^c University of Louisville School of Medicine   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

LIDOCAINE;

ADOLESCENT; ADULT; AIR; ANESTHESIA COMPLICATION; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG EFFECT; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL SPACE; FEMALE; HEADACHE; HUMAN; HYPOTENSION; LABOR; LOSS OF RESISTANCE TECHNIQUE; NEUROLOGIC DISEASE; NORMAL HUMAN; OBSTETRIC ANESTHESIA; PAIN ASSESSMENT; PRIORITY JOURNAL; PUNCTURE; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; SCORING SYSTEM; SIDE EFFECT; TECHNIQUE; URINE RETENTION;

EID: 3042651595     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000120084.56136.15     Document Type: Article

References (26)

1. Scott DB. Identification of the epidural space: loss of resistance to air or saline? Reg Anesth 1997;22:1-2.
2. Russell R. Loss of resistance to saline is better than air for obstetric epidurals. Int J Obstet Anesth 2001;10:302-6.
3. Stride PC, Cooper GM. Dural taps revisited: a 20-year survey from Birmingham Maternity Hospital. Anaesthesia 1993;48:247-55.
4. Gleeson CM, Reynolds F. Accidental dural puncture rates in UK obstetric practice. Int J Obstet Anesth 1998;7:242-6.
5. Huffnagle SL, Norris MC, Arkoosh VA, et al. The influence of epidural needle bevel orientation on spread of sensory blockade in the laboring parturient. Anesth Analg 1998;87:326-30.
6. Laviola S, Kirvela M, Spoto MR, et al. Pneumocephalus with intense headache and unilateral pupillary dilatation after accidental dural puncture during epidural anesthesia for cesarean section. Anesth Analg 1999;88:582-3.
7. Chadwick HS. An analysis of obstetric anesthesia cases from the American Society of Anesthesiologists closed claims project database. Int J Obstet Anesth 1996;5:258-63.
8. Carter MI. Cervical surgical emphysema following extradural analgesia. Anaesthesia 1984;39:1115-6.
9. Naulty JS, Ostheimer GW, Datta S, et al. Incidence of venous air embolism during epidural catheter insertion. Anesthesiology 1982;57:410-2.
10. Nay PG, Milaszkiewicz R, Jothilingam S. Extradural air as a cause of paraplegia following lumbar analgesia. Anaesthesia 1993;48:402-4.
11. Dalens B, Bazin JE, Haberer JP. Epidural bubbles as a cause of incomplete analgesia during epidural anesthesia. Anesth Analg 1987;66:679-83.
12. Iwama H. Injection volume of saline with loss of resistance method may affect the spread of epidural anesthesia. Anesthesiology 1997;86:507-8.
13. Okutomi T, Hoka S. Epidural saline solution prior to local anaesthetic produces differential nerve block. Can J Anaesth 1998;45:1091-3.
14. Sarna MC, Smith I, James JM. Paraesthesia with lumbar epidural catheters: a comparison of air and saline in a loss-of-resistance technique. Anaesthesia 1990;45:1077-9.
15. Valentine SJ, Jarvis AP, Shutt LE. Comparative study of the effects of air or saline to identify the extradural space. Br J Anaesth 1991;66:224-7.
16. Beilin Y, Arnold I, Telfeyan C, et al. Quality of analgesia when air versus saline is used for identification of the epidural space in the parturient. Reg Anesth Pain Med 2000;25:596-9.
17. MacArthur C, Lewis M, Knox EG. Accidental dural puncture in obstetric patients and long term symptoms. BMJ 1993;306:883-5.
18. Aida S, Taga K, Yamakura T, et al. Headache after attempted epidural block: the role of intrathecal air. Anesthesiology 1998;88:76-81.
19. Thomas JE, Schachner S, Reynolds A. Subcutaneous emphysema as a result of loss of resistance identification of the epidural space. Reg Anesth 1982;77:44-5.
20. Munro HM. Pain in the neck. Anaesthesia 1990;45:173.
21. Petty R, Stevens R, Erickson S, et al. Inhalation of nitrous oxide expands epidural air bubbles. Reg Anesth 1996;21:144-8.
22. el-Behesy BA, James D, Koh KF, et al. Distinguishing cerebro-spinal fluid from saline used to identify the extradural space. Br J Anaesth 1996;77:784-5.
23. Zeidel A, Gingold A, Satunovsky E, et al. Bedside test for diagnosis of oedema fluid after extradural anaesthesia. Can J Anaesth 1998;45:664-6.
24. Bahar M, Chanimov M, Cohen ML, et al. Lateral recumbent head-down posture for epidural catheter insertion reduces intravascular injection. Can J Anaesth 2001;48:48-53.
25. Howell TK, Prosser DP, Harmer M. A change in resistance? A survey of epidural practice amongst obstetric anaesthetists. Anaesthesia 1998;53:238-43.
26. Shenouda PE, Cunningham BJ. Assessing the superiority of saline versus air for use in the epidural loss of resistance technique: a literature review. Reg Anesth Pain Med 2003;28:48-53.