COMPARISON OF TECHNIQUES- IDENTIFICATION OF EPIDURAL SPACE USING THE LOSS OF RESISTANCE SYRINGE AND AN AUTOMATED SYRINGE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 80
Abstract
BACKGROUND With the concerns regarding the higher amount of time taken for epidural needle insertion and higher failure rate and complication rate with conventional loss of resistance techniques, various new innovative techniques have been introduced into anaesthetic practice. But the studies comparing these advanced methods on Indian population with conventional methods are scarce. The aim of this study is to compare the efficacy of identification of epidural space using conventional LOR syringe versus automated Epimatic syringe. MATERIALS AND METHODS The study included 40 patients undergoing lumbar epidural anaesthesia with 20 patients in each of the Automatic Epimatic syringe group and conventional LOR group. All the patients were aged between 18 to 65 years, belonging to both genders and with ASA status – I, II, III. Settings and Design- The study was a randomised controlled trial conducted in Government Mohan Kumaramangalam Medical College Hospital, which is a tertiary care teaching hospital in South India. Statistical Analysis- Since all the quantitative variables were not normally distributed, they were compared between two groups using median and interquartile range using Mann-Whitney U test. The categorical variables were compared between two groups by Chi square test or Fisher’s exact test. IBM SPSS version 21 was used for statistical analysis. RESULTS Both groups were comparable regarding age, sex, weight, the frequency of distribution. Number of attempts taken is statistically insignificant with p value 0.32, the time taken to identify the epidural space is statistically significant with p value <0.001, In ease of identification of epidural space, p value is 0.30, In ease of catheter insertion p value is 0.34, both are statistically not significant and we encountered one dural tap in conventional LOR syringe group, CONCLUSION Epimatic syringe being a newer hands-free technique taking less time to identify the space with less complications is an ideal technique for beginners. It is a safe alternative for conventional loss of resistance technique.
Authors and Affiliations
Dilish G, Murugesan K, Jayasree R
Keywords
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- EP ID EP268162
- DOI 10.14260/jemds/2017/1226
- Views 104
- Downloads 0
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