Comparison of the Use of Epidrum with Air or Saline for Identifying the Epidural Space
Journal Title: Enliven: Journal of Anesthesiology and Critical Care Medicine - Year 2015, Vol 2, Issue 6
Abstract
Background Identification of the epidural space has a critical role in epidural anesthesia. Epidrum® has been a recently developed air operated device used for identifying the epidural space. This study compares the usage of Epidrum® with saline or air to identify epidural space in performing epidural or combined spinal-epidural(CSE) anesthesia; by paying attention to the ease and duration of the application process, certainty of epidural space distinction, and possible complications. Methods Sixty ASA I or II patients between the ages of 18 and 60 years old scheduled for elective gynecologic, orthopedic or hip surgery under CSE anesthesia were enrolled in this study. The patients were randomly assigned to two groups: either, Epidrum® was used with air (Group A) (n=30) or with saline (Group S) (n=30). Results No significant differences were noted between the two groups in terms of the time taken to determine the epidural space or the number of attempts required to find it. Deflation time in Group A was statistically shorter than Group S (p=0.024). It was reported that Epidrum® usage with air was easier to apply (73% vs. 30%), and discrimination of the epidural space was more significant (63% vs. 13%) compared to saline (p=0.001 in both groups). No complications were recorded in both groups. Conclusion Despite more significant discrimination of the epidural space, shorter deflation time and ease of application of Epidrum® use with air versus saline, saline could be also used successfully in consideration of possible complications with air.
Authors and Affiliations
Kartal Seyfi, Kilinç Hatice, Muslu Bünyamin, Karabayirli Safinaz, Kösem Bahadir, Uygun Murat, Özanbarci Azra, Gözdemir Muhammet
Keywords
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