Comparison of spring-loaded, loss of resistance and hanging drop techniques in lumbar epidural blocks

被引：4
作者：
Gulen, Guven [1 ]
Akkaya, Taylan [2 ]
Ozkan, Derya [2 ]
Kaydul, Mehmet [3 ]
Gozaydin, Orhan [4 ]
Gumus, Haluk [2 ]
机构：
[1] Harput State Hosp, Dept Anesthesiol & Reanimat, Elazig, Turkey
[2] Diskapi Training & Res Hosp, Dept Anesthesiol & Reanimat Pain 1st, Ankara, Turkey
[3] Igdir State Hosp, Dept Anesthesiol & Reanimat, Igdir, Turkey
[4] Semdinli State Hosp, Dept Anesthesiol & Reanimat, Hakkari, Turkey
来源：
AGRI-THE JOURNAL OF THE TURKISH SOCIETY OF ALGOLOGY | 2012年 / 24卷 / 01期
关键词：
Hanging drop technique; loss of resistance; epidural block; spring loaded;
D O I：
10.5505/agri.2012.98705
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Objectives: The spring-loaded syringe is a loss of resistance syringe that provide a more objective sign that the epidural space has been entered compared with the traditional techniques. The aim of this study was to compare the time required to locate the epidural space and the backache incidence with the spring-loaded (SL), loss of resistance (LOR) and the hanging drop (HD) techniques for epidural blocks in patients undergoing transurethral resection procedure. Methods: Sixty patients undergoing transurethral resections were enrolled in the study. The patients were randomly assigned to one of three groups. Epidural block was performed in the first group with a spring-loaded syringe (n=20), in the second group with loss-of-resistance syringe (n=20), and in the third group with the hanging drop technique (n=20). The required time to locate the epidural space, the number of attempts, the incidence of dural puncture and the backache incidence were assessed during the procedure and for four weeks after the procedure in all patients. Results: The required time to locate the epidural space was 29.1 +/- 9.16 seconds in Group 1; 45.25 +/- 19.58 seconds in Group 2, and 47.35 +/- 11.42 seconds in Group 3 (p<0.001). In Group 1this was significantly shorter than the other two groups. There was no significant difference in the number of attempts, the incidence of dural puncture and backache incidence between the three groups (p>0.05). Conclusion: The use of SL syringe was found to have a shorter time period to locate the epidural space when compared with the LOR syringe and hanging drop technique.
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页码：37 / 41
页数：5
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