Confirmation of loss-of-resistance for epidural analgesia

Regional Anesthesia and Pain Medicine

Volumn 40, Issue 2, 2015, Pages 166-173

  Tran, De Q H ^a   González, Andrea P ^b   Bernucci, Francisca ^b   Finlayson, Roderick J ^a  

^a MCGILL UNIVERSITY   (Canada)

^b Department of Oral and Maxillofacial Surgery   (Chile)

Author keywords

[No Author keywords available]

Indexed keywords

ASPIRATION, PUNCTURE AND SUCTION; DURA MATER; ECHOGRAPHY; ELECTROSTIMULATION; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL NEEDLE; EPIDURAL SPACE; FALSE POSITIVE RESULT; HUMAN; LIGAMENTUM FLAVUM; PARASPINAL MUSCLE; POSTOPERATIVE ANALGESIA; PREDICTIVE VALUE; PRIORITY JOURNAL; RADIOGRAPHY; REVIEW; ENDOSCOPIC ECHOGRAPHY; FEMALE; INJURIES; LABORATORY DIAGNOSIS; OBSTETRIC ANALGESIA; PREGNANCY; PROCEDURES;

ANALGESIA, EPIDURAL; ANALGESIA, OBSTETRICAL; DURA MATER; ELECTRIC STIMULATION; EPIDURAL SPACE; FALSE POSITIVE REACTIONS; FEMALE; HUMANS; PREGNANCY; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 84924263481     PISSN: 10987339     EISSN: 15328651     Source Type: Journal    
DOI: 10.1097/AAP.0000000000000217     Document Type: Review

References (97)

1. Sicard JA, Forestier J. Radiographic method for exploration of the extradural space using Lipiodol [in French]. Rev Neurol. 1921;28: 1264-1266.
2. Howell TK, Prosser DP, Harmer M. A change in resistance? A survey of epidural practice amongst obstetric anesthetists. Anaesthesia. 1998;53: 238-243.
3. WantmanA,HancoxN,Howell PR. Techniques for identifying the epidural space: a survey of practice amongst anesthetists in the UK. Anaesthesia. 2006;61:370-375.
4. Odom CB. Epidural anesthesia. Am J Surg. 1936;34:547-558.
5. Brooks W. An epidural indicator. Anaesthesia. 1957;12:227-228.
6. Macintosh RR. Extradural space indicator. Anaesthesia. 1950;5:98-99.
7. Macintosh RR, Mushin WW. Observations on the epidural space. Anaesthesia. 1947;2:100-104.
8. Dawkins M. The identification of the epidural space. A critical analysis of the various methods employed. Anaesthesia. 1963;18:66-77.
9. Chester MH. Amodified Dawkins epidural indicator: a useful teaching aid. Anesth Analg. 1978;57:736-738.
10. Zelenka L. A new indicator for spinal epidural analgesia. Anesthesiology. 1956;17:210-211.
11. Dawkins M. Location of epidural space. Anaesthesia. 1957;12:225-226.
12. Dawkins M. A drip epidural indicator. Anaesthesia. 1961;16:102-103.
13. Todorov L, VadeBoncouer T. Etiology and use of the "hanging drop"technique: a review. Pain Res Treat. 2014;2014:146750.
14. Lechner TJM, van Wijk MGF, Maas AJJ. Clinical results with a new acoustic device to identify the epidural space. Anaesthesia. 2002;57: 768-772.
15. Lechner TJM, van Wijk MGF, Maas AJ, et al. Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space. Anesth Analg. 2003;96:1183-1187.
16. Lechner TJ, van Wijk MG, Maas AJ, van Dorsten FR. Thoracic epidural puncture guided by an acoustic signal: clinical results. Anaesthesia. 2004; 21:694-699.
17. Antibas PL, do Nascimento Junior P, et al. Air versus saline in the loss of resistance technique for identification of the epidural space. Cochrane Database Syst Rev. 2014;(7):CD008938.
18. Evans JM. The Oxford epidural-space detector. Lancet. 1982;2: 1433-1434.
19. Yamashita M, Tsuji M. Identification of the epidural space in children. Anaesthesia. 1991;46:872-874.
20. Samhan YM, El-Sabae HH, Khafagy HH, Maher MA. A pilot study to compare epidural identification and catheterization using a saline-filled syringe versus a continuous hydrostatic pressure system. JAnesth. 2013;27: 607-610.
21. Sharrock NE. Recordings of, and an anatomical for, false positive loss of resistance during lumbar extradural analgesia. Anesth Analg. 1979;51: 253-258.
22. Rissanen PM. The surgical anatomy and pathology of the supraspinous and interspinous ligaments of the lumbar spinal with special reference to ligament ruptures. Acta Orthop Scand Suppl. 1960;46:1-100.
23. Bonica JJ. Continuous peridural block. Anesthesiology. 1956;17:626-630.
24. Lirk B, Kolbitsch C, Putz G, et al. Cervical and high thoracic ligamentum flavum frequently fails to fuse in the midline. Anesthesiology. 2003;99: 1387-1390.
25. Lirk B, Moriggl B, Colvin J, et al. The incidence of lumbar ligamentum flavum midline gaps. Anesth Analg. 2004;98:1178-1180.
26. Lirk B, Colvin J, Steger B, et al. Incidence of lower thoracic ligamentum flavum midline gaps. Br J Anaesth. 2005;94:852-855.
27. Chayen D, Nathan H, Chayen M. The psoas compartment block. Anesthesiology. 1976;45:95-99.
28. Eason MJ,Wyatt R. Paravertebral block. A reappraisal. Anaesthesia. 1979; 34:638-642.
29. Hermanides J, Hollman MW, Stevens MF, Lirk P. Failed epidural: causes and management. Br J Anaesth. 2012;109:144-154.
30. de Médicis E, Tetreault JP, Martin R, Robichaud R, Laroche L. A prospective comparative study of two indirect methods for confirming the localization of an epidural catheter for postoperative analgesia. Anesth Analg. 2005;101:1830-1833.
31. Agaram R, Douglas MJ, McTaggart RA, Gunka V. Inadequate pain relief with labor epidurals: a multivariate analysis of associated factors. Int J Obstet Anesth. 2009;18:10-14.
32. Uchino T, Hagiwara S, Iwasaka H, et al. Use of imaging agent to determine postoperative indwelling epidural catheter position. Korean J Pain. 2010; 23:247-253.
33. Thangamuthu A, Russell IF, Purva M. Epidural failure rate using a standardized definition. Int J Obstet Anesth. 2013;22:310-315.
34. Hogan Q. Epidural anatomy catheter tip position and distribution of injectate evaluated by computed tomography. Anesthesiology. 1999;90: 964-970.
35. ArendtK, Segal S.Why epidurals do not alwayswork. Rev ObstetGynecol. 2008;1:49-55.
36. Mehta M, Salmon N. Extradural block. Confirmation of the injection site by x-ray monitoring. Anaesthesia. 1985;40:1009-1012.
37. Liu SS, Melmed AP, Klos JW, Innis CA. Prospective experience with a 20-gauge Tuohy needle for lumbar epidural steroid injections: is confirmation with fluoroscopy necessary? Reg Anesth Pain Med. 2001;26: 143-146.
38. Nagaro T, Yorozuya T, Kamei M, Kii N, Arai T, Abe S. Fluoroscopic guided epidural block in the thoracic and lumbar regions. Reg Anesth Pain Med. 2006;31:409-416.
39. Kim SY, Kim YY, Kim AR. Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy. Korean J Anesthesiol. 2011;62:251-255.
40. Camorcia M. Testing the epidural catheter. Curr Opin Anaesthesiol. 2009; 22:336-340.
41. Larsson J, Gordh TE. Testing whether the epidural block works: too time consuming? Acta Anaesth Scand. 2010;54:761-763.
42. Blomberg RG, Jaanivald A, Walther S. Approaches of the paramedian approach for lumbar epidural analgesia with catheter technique. Anaesthesia. 1989;44:742-746.
43. Podder S,KumarN, Yaddanapudi LN, Chari P. Paramedian lumbar epidural catheter insertionwith patients in the sitting position is equally successful in the flexed and unflexed spine. Anesth Analg. 2004;99:1829-1832.
44. Leeda M, Stienstra R, Arbous MS, et al. Lumbar epidural catheter insertion: the midline vs the paramedian approach. Eur J Anaesthesiol. 2005;22:839-842.
45. Griffin RM, Scott RFP. A Comparison between the midline and paramedian approaches to the extradural space. Anaesthesia. 1984;39: 584-586.
46. Sprung J, BourkeDL, Grass J, et al. Predicting the difficult neuraxial block: a prospective study. Anesth Analg. 1999;89:384-389.
47. Suzuki N, Koganemaru M, Onizuka S, Takasaki M. Dural puncture with a 26-gauge spinal needle affects spread of epidural anesthesia. Anesth Analg. 1996;82:1040-1042.
48. Fregi V, Buzzigoli S, Falaschi M, et al. Thoracic spinal anesthesia in surgical interventions of the upper abdomen in patients at risk [in Italian]. Minerva Anestesiol. 1987;53:465-468.
49. van Zundert AAJ, Stultiens G, Jakimowicz JJ, et al. Laparoscopic cholecystectomy under segmental thoracic spinal anesthesia: a feasibility study. Br J Anaesth. 2007;98:682-686.
50. Imbelloni LE, Gouveia MA. Low incidence of neurologic complications during thoracic epidurals: anatomic explanation. Am J Neuroradiol. 2010; 31:E84.
51. Imbelloni LE, Ferraz-Filho JR, Quirici MB, Cordeiro JA. Magnetic resonance imaging of the spinal column. Br J Anaesth. 2008;101:433-434.
52. Lee RA, van Zundert AA, Botha CP, et al. The anatomy of the thoracic spinal canal in different postures: a magnetic resonance imaging investigation. Reg Anesth Pain Med. 2010;35:364-369.
53. Gong Y, Shi H, Wu J, et al. Pressure waveform-guided epidural catheter placement in comparison to the loss-of-resistance conventional method. J Clin Anesth. 2014;26:395-401.
54. Ghia JN, Arora SK, Castillo M, Mukherji SK. Confirmation of location of epidural catheters by epidural waveform and computed tomography cathetergram. Reg Anesth Pain Med. 2001;26:337-341.
55. Lennox PH, Umedaly HS, Grant RP, White SA, Fitzmaurice BG, Evans KG. A pulsatile pressurewaveform is a sensitive marker for confirming the location of the thoracic epidural space. J Cardiothorac Vasc Anesth. 2006; 20:659-663.
56. Tsui BCH, Sunil G, Finucane B. Confirmation of epidural catheter placement using nerve stimulation. Can J Anesth. 1998;45:640-644.
57. Tsui BCH, Gupta S, Finucane B. Determination of epidural catheter placement using nerve stimulation in obstetric patients. Reg Anesth Pain Med. 1999;24:17-23.
58. Tsui BCH, Wagner A, Cave D, Seal R. Threshold current for an insulated epidural needle in pediatric patients. Anesth Analg. 2004;99:694-696.
59. Goobie SM, Montgomery CJ, Basu R, et al. Confirmation of direct epidural catheter placement using nerve stimulator in pediatric anesthesia. Anesth Analg. 2003;97:984-988.
60. Charghi R, Chan SY, Kardash KJ, Finlayson RJ, Tran DQH. Electrical stimulation of the epidural space using a catheter with a removable stylet. Reg Anesth Pain Med. 2007;32:152-156.
61. Tsui BCH, Gupta S, Finucane B. Detection of subarachnoid and intravascular epidural catheter placement. Can J Anesth. 1999;46:675-678.
62. Tsui BCH, Gupta S, Emery D, Finucane B. Detection of subdural placement of epidural catheter using nerve stimulation. Can J Anesth. 2000; 47:471-473.
63. Lena P, Martin R. Subdural placement of an epidural catheter detected by nerve stimulation. Can J Anesth. 2005;52:618-621.
64. Tsui BCH, Seal R, Entwistle L. Thoracic epidural analgesia via the caudal approach using nerve stimulation in an infant with CATCH22. Can J Anesth. 1999;46:1138-1142.
65. Tsui BCH, Seal R, Koller J, Entwistle L, Haugen R, Kearney R. Thoracic epidural analgesia via the caudal approach in pediatric patients undergoing fundoduplication using nerve stimulation guidance. Anesth Analg. 2001; 93:1152-1155.
66. Tsui BCH, Wagner A, Cave D, Kearney R. Thoracic and lumbar epidural analgesia via the caudal approach using electrical stimulation guidance in pediatric patients. Anesthesiology. 2004;100:683-689.
67. Tsui BCH. Innovative approaches to neuraxial blockade in children: the introduction of epidural nerve root stimulation and ultrasound guidance for epidural catheter placement. Pain Res Manage. 2006;11:173-180.
68. Balki M. Locating the epidural space in obstetric patients-ultrasound a useful tool: continuing professional development. Can J Anesth. 2010;57: 1111-1126.
69. Chin KJ, Karmakar MJ, Peng P. Ultrasonography for the adult thoracic and lumbar spine for central neuraxial blockade. Anesthesiology. 2011;114: 1459-1485.
70. Shaikh F, Brzezinski J, Alexander S, et al. Ultrasound imaging for lumbar punctures and epidural catheterizations: systematic review and meta-analysis. BMJ. 2013;346:f1720.
71. Grau T, Leipold RW, Conradi R, Martin E. Ultrasound control for presumed difficult epidural puncture. Acta Anaesthesiol Scand. 2001; 45:766-771.
72. Grau T, Leipold RW, Conradi R, Martin E, Motsch J. Ultrasound imaging facilitates localization of the epidural space during combined spinal and epidural anesthesia. Reg Anesth Pain Med. 2001;26:64-67.
73. Grau T, Leipold RW, Conradi R, Martin E, Motsch J. Efficacy of ultrasound imaging in obstetric epidural anesthesia. J Clin Anesth. 2002;14:169-175.
74. Grau T, Bartusseck E, Conradi R, Martin E,Motsch J. Ultrasound imaging improves learning curves in obstetric epidural anesthesia: a preliminary study. Can J Anesth. 2003;50:1047-1050.
75. Grau T, Leipold RW, Fatehi S, Martin E, Motsch J. Real-time ultrasonic observation of combined spinal-epidural anesthesia. Eur J Anaesthesiol. 2004;21:25-31.
76. Vallejo MC, Phelps AL, Singh S, Orebaugh SL, Sah N. Ultrasound decreases the failed labor epidural rate in resident trainees. Int J Obstet Anesth. 2010;19:373-378.
77. Arzola C, Davies S, Rofaeel A, Carvalho JC. Ultrasound using the transverse approach to the lumbar spine provides reliable landmarks for labor epidurals. Anesth Analg. 2007;104:1188-1192.
78. Kil HK, Cho JE, Kim WO, Koo BN, Han SW, Kim JY. Prepuncture ultrasound-measure distance: an accurate reflection of epidural depth in infants and small children. Reg Anesth Pain Med. 2007;32:102-106.
79. Kim SH, Lee KH, Yoon KB, Park WY, Yoon DM. Sonographic estimation of needle depth for cervical epidural blocks. Anesth Analg. 2008;106: 1542-1547.
80. Tran D, Kamani AA, Lessoway VA, Peterson C, Hor KW, Rohling RN. Preinsertion paramedian ultrasound guidance for epidural anesthesia. Anesth Analg. 2009;109:661-667.
81. Balki M, Lee Y, Halpern S, Carvalho JC. Ultrasound imaging of the lumbar spine in the transverse plane: the correlation between estimated and actual depth to the epidural space in obese parturients. Anesth Analg. 2009;108: 1876-1881.
82. PakMH, LeeWH, Ko YK, So SY, KimHJ.Ultrasonographic measurement of the ligamentum flavum depth; is it a reliable method to distinguish true and false loss of resistance? Korean J Pain. 2012;25:99-104.
83. SalmanA,Arzola C, TharmaratnamU, Balki M. Ultrasound imaging of the thoracic spine in paramedian sagittal oblique plane. Reg Anesth Pain Med. 2011;36:542-547.
84. Sahota JS, Carvalho JCA, Balki M, Fanning N, Arzola C. Ultrasound estimates for midline epidural punctures in the obese parturient: paramedian sagittal oblique is comparable to the transverse median plane. Anesth Analg. 2013;116:829-835.
85. Willschke H, Marhofer P, Bosenberg A, et al. Epidural catheter placement in children: comparing a novel approach using ultrasound guidance and a standard loss-of-resistance technique. Br J Anaesth. 2006;97:200-207.
86. Karmakar MK, Li X, Ho AMH, Kwok WH, Tsui PT. Real-time ultrasound-guided paramedian epidural access: evaluation of a novel in-plane technique. Br J Anaesth. 2009;102:645-654.
87. Huntoon MA. Ultrasound in pain medicine. Advanced weaponry or just a fad? Reg Anesth Pain Med. 2009;34:387-388.
88. Durrans SF. High extradural segmental block. Anaesthesia. 1947;2:106-111.
89. Lund PC, Cwik JC, Magaziner R. Epidural anesthesia in general surgery. Anesthesiology. 1956;17:605-615.
90. Davidson JT. Identification of the epidural space. Anesthesiology. 1966;27:859.
91. Mirakhur RK, Bandopadhyay A. Correspondence: an auditory guide to the location of the extradural space. Anaesthesia. 1973;28:707.
92. Jacob S, Tierney E. A dual technique for identification of the epidural space. Anaesthesia. 1997;52:141-143.
93. Nader-Djalal N, Reedy R, Bacon DR. Doppler guidance for epidural catheter placement. Reg Anesth Pain Med. 1998;23:326-328.
94. Corry P, Sanjay PS, Russell GN, Pennefather SH. Confirming the position of the thoracic epidural catheter-a valuable sign. Anaesthesia. 2003;58: 929-930.
95. Carden E, Orti A. The BIP test: a modified loss of resistance technique for confirming epidural needle placement. Pain Physician. 2006;9:323-325.
96. Sinha PK, Dubey PK. Prediction of successful epidural catheter placement by a "cold test". Anaesth Intensive Care. 2006;34:31-35.
97. Yokoyama T, Ushida T, Yamasaki F, Inoue S, Sluka KA. Epidural puncture can be confirmed by the Queckenstedt-test procedure in patients with cervical spinal canal stenosis. Acta Anaesth Scand. 2008;52:256-261.