The BIP test: A modified loss of resistance technique for confirming epidural needle placement

Pain Physician

Volumn 9, Issue 4, 2006, Pages 323-325

  Carden, Edward ^a,b   Ori, Arti ^c  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b Southern California Academic Pain Management   (United States)

^c BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Epidural; Epidural block; Epidural injection; Loss of resistance technique; Spinal epidural

Indexed keywords

ANESTHESIOLOGICAL TECHNIQUES; ARTICLE; BI DIGITAL PRESSURE TEST; EPIDURAL ANESTHESIA; EPIDURAL SPACE; HUMAN; LIGAMENTUM FLAVUM; PRESSURE MEASUREMENT; PUNCTURE; SAFETY;

EPIDURAL SPACE; HUMANS; INJECTIONS, EPIDURAL; LATERAL LIGAMENT, ANKLE; MONITORING, PHYSIOLOGIC; NEEDLES; NERVE BLOCK; PRESSURE; SPINAL CANAL; SPINE;

EID: 33750879489     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (10)

1. Dogliotti AM. Segmental peridural spinal anesthesia. Am J Surg 1933; 20:107-118
2. Kate SS, Oosthuysen SA. Identification of the epidural space using air with normal saline. Anaesthesia 2000; 55:615-616
3. Lin BC, Chen KB, Chang CS, Wu KC, Liu YC, Chen CC, Wu RS. A 'membrane in syringe' technique that allows identification of the epidural space with saline while avoids injection of air into the epidural space. Acta Anaesthesiol Sin. 2002; 40:55-60.
4. Michel MZ, Lawes EG. Identification of epidural space by drip method Reg Anesth 1991; 16:236-239.
5. Bhate H. Identification of the peridural space with the infusion method in relation to the incidence of inadvertent puncture of the dura. Reg Anaesth 1984; 7:44-47.
6. Kumagai M, Yamashita M. Sacral intervertebral approach for epidural anaesthesia in infants and children:application of "drip and tube" method. Anaesth Intensive Care 1995; 23:469-471.
7. Lechner TJ, van Wijk MG, Maas AJ, van Dorsten FR, Drost RA, Langenberg CJ, Teunissen LJ, Cornelissen PH, van Niekerk J. Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space. Anesth Analg 2003; 96:1183-1187
8. Moore D:Regional Block. Springfield, Illinois, Charles C Thomas; 1975: PP 413-415
9. Lewis MP, Thomas P, Wilson LF, Mulholland RC. The "Whoosh" test. A clinical test to confirm correct needle placement in caudal epidural injection. Anaesthesia 1992; 47:57-58
10. Howell TK, Prosser DP, Harmer M. A change in resistance? A survey of epidural practice among obstetric anaesthetists. Anaesthesia 1998; 53:238-243.