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Epidural techniques - can we improve outcome?

Flisberg, Per LU (2005) 8th Biennial Congress of the Asian & Oceanic Society of Regional Anesthesia and Pain Medicine In Proceedings of the 8th Biennial Congress of the Asian & Oceanic Society of Regional Anesthesia and Pain Medicine p.105-110
Abstract
In epidural studies it has been hard to find evidence supporting the outcome benefits of epidural treatment. A lot of epidurals have a high incidence of postoperative malfunctions. Several technical factors can be behind this. By knowing the relevant anatomy, the epidural insertion can be more optimal. Using saline instead of air as loss of resistance medium, a better working epidural with less morbidity can be achieved. The type of epidural catheter used is also important in order to reduce the frequency of inadequate analgesia. To rule out intravenous or subarachnoid position of the catheter the test dose is still very important. In the near future newly develop techniques may be helpful in recognizing the epidural space/catheter... (More)
In epidural studies it has been hard to find evidence supporting the outcome benefits of epidural treatment. A lot of epidurals have a high incidence of postoperative malfunctions. Several technical factors can be behind this. By knowing the relevant anatomy, the epidural insertion can be more optimal. Using saline instead of air as loss of resistance medium, a better working epidural with less morbidity can be achieved. The type of epidural catheter used is also important in order to reduce the frequency of inadequate analgesia. To rule out intravenous or subarachnoid position of the catheter the test dose is still very important. In the near future newly develop techniques may be helpful in recognizing the epidural space/catheter position. Finally, a particularly important aspect is the correct epidural catheter position at the right dermatomal level. (Less)
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author
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
in
Proceedings of the 8th Biennial Congress of the Asian & Oceanic Society of Regional Anesthesia and Pain Medicine
editor
Hanaoka, K; Yuge, O; Fukuda, K and Arita, H
pages
105 - 110
publisher
Medimond
conference name
8th Biennial Congress of the Asian & Oceanic Society of Regional Anesthesia and Pain Medicine
external identifiers
  • WOS:000236887000021
ISBN
88-7587-204-X
language
English
LU publication?
yes
id
bff89022-c020-4ba7-8e46-c550375f1be5 (old id 1133629)
date added to LUP
2009-07-09 09:17:42
date last changed
2016-04-16 09:54:31
@misc{bff89022-c020-4ba7-8e46-c550375f1be5,
  abstract     = {In epidural studies it has been hard to find evidence supporting the outcome benefits of epidural treatment. A lot of epidurals have a high incidence of postoperative malfunctions. Several technical factors can be behind this. By knowing the relevant anatomy, the epidural insertion can be more optimal. Using saline instead of air as loss of resistance medium, a better working epidural with less morbidity can be achieved. The type of epidural catheter used is also important in order to reduce the frequency of inadequate analgesia. To rule out intravenous or subarachnoid position of the catheter the test dose is still very important. In the near future newly develop techniques may be helpful in recognizing the epidural space/catheter position. Finally, a particularly important aspect is the correct epidural catheter position at the right dermatomal level.},
  author       = {Flisberg, Per},
  editor       = {Hanaoka, K and Yuge, O and Fukuda, K and Arita, H},
  isbn         = {88-7587-204-X},
  language     = {eng},
  pages        = {105--110},
  publisher    = {ARRAY(0x8c84458)},
  series       = {Proceedings of the 8th Biennial Congress of the Asian & Oceanic Society of Regional Anesthesia and Pain Medicine},
  title        = {Epidural techniques - can we improve outcome?},
  year         = {2005},
}