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Vol 90, No 5 (2019)
Research paper
Published online: 2019-04-15
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Randomized comparison of two methods of the epidural space identification during regional labour analgesia

Larysa Duniec12, Jan Bilawicz12, Marcin Chlebus3, Bronislawa Pietrzak1, Miroslaw Wielgos1
DOI: 10.5603/GP.a2019.0044
·
Pubmed: 30984999
·
Ginekol Pol 2019;90(5):279-284.
Affiliations
  1. 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
  2. I Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Poland
  3. Department of Quantitative Finance, Faculty of Economic Sciences, University of Warsaw, Poland

open access

Vol 90, No 5 (2019)
ORIGINAL PAPERS Obstetrics
Published online: 2019-04-15

Abstract

Objectives: Conventional loss of resistance (LOR) technique for identifying the epidural space (EDS) predominantly depends on experience of the anaesthetist. A technique using automated syringe for EDS identification was invented as an alternative to the traditional method. The aim of the study was to compare the efficacy and risk for complications between automatic LOR syringe — Epimatic® (Vygon, Ecouen, France) and conventional LOR — Perifix® (B.Braun Melsungen AG, Melsungen, Germany) techniques for EDS identification. 

Material and methods: A total of 170 patients were enrolled into the study and 153 cases were analysed. Number of at- tempts, time to EDS identification, ease of EDS identification, complication rate and patient procedure-related discomfort were evaluated and compared. 

Results: No statistically significant differences were found in the number of needle insertion attempts (1.3 in both groups), time to EDS identification (31 sec. vs. 27 sec.), efficacy of epidural analgesia (100% in both groups), or complication rate between both groups. 

Conclusions: The automatic and the conventional LOR techniques are comparable in terms of efficacy and safety for the epidural space identification. 

Abstract

Objectives: Conventional loss of resistance (LOR) technique for identifying the epidural space (EDS) predominantly depends on experience of the anaesthetist. A technique using automated syringe for EDS identification was invented as an alternative to the traditional method. The aim of the study was to compare the efficacy and risk for complications between automatic LOR syringe — Epimatic® (Vygon, Ecouen, France) and conventional LOR — Perifix® (B.Braun Melsungen AG, Melsungen, Germany) techniques for EDS identification. 

Material and methods: A total of 170 patients were enrolled into the study and 153 cases were analysed. Number of at- tempts, time to EDS identification, ease of EDS identification, complication rate and patient procedure-related discomfort were evaluated and compared. 

Results: No statistically significant differences were found in the number of needle insertion attempts (1.3 in both groups), time to EDS identification (31 sec. vs. 27 sec.), efficacy of epidural analgesia (100% in both groups), or complication rate between both groups. 

Conclusions: The automatic and the conventional LOR techniques are comparable in terms of efficacy and safety for the epidural space identification. 

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Keywords

epidural analgesia; epidural space; loss-of-resistance technique; automatic identification; labour analgesia

About this article
Title

Randomized comparison of two methods of the epidural space identification during regional labour analgesia

Journal

Ginekologia Polska

Issue

Vol 90, No 5 (2019)

Article type

Research paper

Pages

279-284

Published online

2019-04-15

Page views

2011

Article views/downloads

1348

DOI

10.5603/GP.a2019.0044

Pubmed

30984999

Bibliographic record

Ginekol Pol 2019;90(5):279-284.

Keywords

epidural analgesia
epidural space
loss-of-resistance technique
automatic identification
labour analgesia

Authors

Larysa Duniec
Jan Bilawicz
Marcin Chlebus
Bronislawa Pietrzak
Miroslaw Wielgos

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