Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural
Identifieur interne : 003B43 ( Ncbi/Curation ); précédent : 003B42; suivant : 003B44Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural
Auteurs : Edward Johnson Joseph [Inde] ; Elango Pachaimuthu [Inde] ; Vasukinathan Arokyamuthu [Inde] ; Muthushenbagam Muthukrishnan [Inde] ; Dinesh Kumar Kannan [Inde] ; B. Dhanalakshmi [Inde]Source :
- Indian Journal of Anaesthesia [ 0019-5049 ] ; 2015.
Abstract
Episure™ AutoDetect™ syringe (EAS), a spring-loaded syringe, is a new loss-of-resistance syringe used to identify epidural space. It has an advantage of subjective and objective confirmation in identifying epidural space over glass syringe (GS) for beginners. We compared the performance of EAS with that of GS for identifying epidural space in lower thoracic epidurals.
A total of 120 American Society of Anesthesiolgists I-II patients aged 18–60 years requiring lower thoracic epidural analgesia for surgery were randomised into Group I (EAS): Epidural identified using EAS and Group II (GS) epidural identified with GS. Patient demographic data, depth to epidural space (cm), number of attempts, time to locate epidural space (s), inadvertent dural puncture and failed epidural analgesia were the parameters noted.
There were no differences in patient demographics or depth to the epidural space between the two groups. There were five failed blocks in the GS group and none in the EAS group (
Using EAS allowed reliable and quick identification of the epidural space in lower thoracic epidural technique as compared to use of glass syringe. There was no incidence of inadvertent dural puncture or failed blocks with the EAS.
Url:
DOI: 10.4103/0019-5049.160933
PubMed: 26257412
PubMed Central: 4523960
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural</title><author><name sortKey="Joseph, Edward Johnson" sort="Joseph, Edward Johnson" uniqKey="Joseph E" first="Edward Johnson" last="Joseph">Edward Johnson Joseph</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Pachaimuthu, Elango" sort="Pachaimuthu, Elango" uniqKey="Pachaimuthu E" first="Elango" last="Pachaimuthu">Elango Pachaimuthu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Arokyamuthu, Vasukinathan" sort="Arokyamuthu, Vasukinathan" uniqKey="Arokyamuthu V" first="Vasukinathan" last="Arokyamuthu">Vasukinathan Arokyamuthu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Muthukrishnan, Muthushenbagam" sort="Muthukrishnan, Muthushenbagam" uniqKey="Muthukrishnan M" first="Muthushenbagam" last="Muthukrishnan">Muthushenbagam Muthukrishnan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Kannan, Dinesh Kumar" sort="Kannan, Dinesh Kumar" uniqKey="Kannan D" first="Dinesh Kumar" last="Kannan">Dinesh Kumar Kannan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Dhanalakshmi, B" sort="Dhanalakshmi, B" uniqKey="Dhanalakshmi B" first="B" last="Dhanalakshmi">B. Dhanalakshmi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26257412</idno><idno type="pmc">4523960</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523960</idno><idno type="RBID">PMC:4523960</idno><idno type="doi">10.4103/0019-5049.160933</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000084</idno><idno type="wicri:Area/Pmc/Curation">000084</idno><idno type="wicri:Area/Pmc/Checkpoint">000694</idno><idno type="wicri:Area/Ncbi/Merge">003B43</idno><idno type="wicri:Area/Ncbi/Curation">003B43</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparative study of Episure™ AutoDetect™ syringe versus glass syringe for identification of epidural space in lower thoracic epidural</title><author><name sortKey="Joseph, Edward Johnson" sort="Joseph, Edward Johnson" uniqKey="Joseph E" first="Edward Johnson" last="Joseph">Edward Johnson Joseph</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Pachaimuthu, Elango" sort="Pachaimuthu, Elango" uniqKey="Pachaimuthu E" first="Elango" last="Pachaimuthu">Elango Pachaimuthu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Arokyamuthu, Vasukinathan" sort="Arokyamuthu, Vasukinathan" uniqKey="Arokyamuthu V" first="Vasukinathan" last="Arokyamuthu">Vasukinathan Arokyamuthu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Muthukrishnan, Muthushenbagam" sort="Muthukrishnan, Muthushenbagam" uniqKey="Muthukrishnan M" first="Muthushenbagam" last="Muthukrishnan">Muthushenbagam Muthukrishnan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Kannan, Dinesh Kumar" sort="Kannan, Dinesh Kumar" uniqKey="Kannan D" first="Dinesh Kumar" last="Kannan">Dinesh Kumar Kannan</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author><author><name sortKey="Dhanalakshmi, B" sort="Dhanalakshmi, B" uniqKey="Dhanalakshmi B" first="B" last="Dhanalakshmi">B. Dhanalakshmi</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Anaesthesiology, Kanyakumari Government Medical College and Hospital, Kanyakumari, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Anaesthesia</title><idno type="ISSN">0019-5049</idno><idno type="eISSN">0976-2817</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background and Aims:</title><p>Episure™ AutoDetect™ syringe (EAS), a spring-loaded syringe, is a new loss-of-resistance syringe used to identify epidural space. It has an advantage of subjective and objective confirmation in identifying epidural space over glass syringe (GS) for beginners. We compared the performance of EAS with that of GS for identifying epidural space in lower thoracic epidurals.</p></sec><sec id="st2"><title>Methods:</title><p>A total of 120 American Society of Anesthesiolgists I-II patients aged 18–60 years requiring lower thoracic epidural analgesia for surgery were randomised into Group I (EAS): Epidural identified using EAS and Group II (GS) epidural identified with GS. Patient demographic data, depth to epidural space (cm), number of attempts, time to locate epidural space (s), inadvertent dural puncture and failed epidural analgesia were the parameters noted.</p></sec><sec id="st3"><title>Results:</title><p>There were no differences in patient demographics or depth to the epidural space between the two groups. There were five failed blocks in the GS group and none in the EAS group (<italic>P</italic> = 0.0287). Similarly, there were five inadvertent dural punctures in the GS group and none in the EAS group (<italic>P</italic> = 0.0287). When epidural was identified in fewer attempts, the time needed to identify epidural space was quicker with EAS (<italic>P</italic> = 0.0012).</p></sec><sec id="st4"><title>Conclusion:</title><p>Using EAS allowed reliable and quick identification of the epidural space in lower thoracic epidural technique as compared to use of glass syringe. There was no incidence of inadvertent dural puncture or failed blocks with the EAS.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Riley, Et" uniqKey="Riley E">ET Riley</name></author><author><name sortKey="Carvalho, B" uniqKey="Carvalho B">B Carvalho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Habib, As" uniqKey="Habib A">AS Habib</name></author><author><name sortKey="George, Rb" uniqKey="George R">RB George</name></author><author><name sortKey="Allen, Tk" uniqKey="Allen T">TK Allen</name></author><author><name sortKey="Olufolabi, Aj" uniqKey="Olufolabi A">AJ Olufolabi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kopacz, Dj" uniqKey="Kopacz D">DJ Kopacz</name></author><author><name sortKey="Neal, Jm" uniqKey="Neal J">JM Neal</name></author><author><name sortKey="Pollock, Je" uniqKey="Pollock J">JE Pollock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dubey, Vn" uniqKey="Dubey V">VN Dubey</name></author><author><name sortKey="Vaughan, N" uniqKey="Vaughan N">N Vaughan</name></author><author><name sortKey="Michael, Yk" uniqKey="Michael Y">YK Michael</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dogliotti, Am" uniqKey="Dogliotti A">AM Dogliotti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simopoulos, T" uniqKey="Simopoulos T">T Simopoulos</name></author><author><name sortKey="Peeters Asdourian, C" uniqKey="Peeters Asdourian C">C Peeters-Asdourian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Laviola, S" uniqKey="Laviola S">S Laviola</name></author><author><name sortKey="Kirvel, M" uniqKey="Kirvel M">M Kirvelä</name></author><author><name sortKey="Spoto, Mr" uniqKey="Spoto M">MR Spoto</name></author><author><name sortKey="Tschuor, S" uniqKey="Tschuor S">S Tschuor</name></author><author><name sortKey="Alon, E" uniqKey="Alon E">E Alon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carter, Mi" uniqKey="Carter M">MI Carter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eappen, S" uniqKey="Eappen S">S Eappen</name></author><author><name sortKey="Blinn, A" uniqKey="Blinn A">A Blinn</name></author><author><name sortKey="Segal, S" uniqKey="Segal S">S Segal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baraka, A" uniqKey="Baraka A">A Baraka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gleeson, Cm" uniqKey="Gleeson C">CM Gleeson</name></author><author><name sortKey="Reynolds, F" uniqKey="Reynolds F">F Reynolds</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stride, Pc" uniqKey="Stride P">PC Stride</name></author><author><name sortKey="Cooper, Gm" uniqKey="Cooper G">GM Cooper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Scrutton, Mj" uniqKey="Scrutton M">MJ Scrutton</name></author><author><name sortKey="Kinsella, Sm" uniqKey="Kinsella S">SM Kinsella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carabuena, Jm" uniqKey="Carabuena J">JM Carabuena</name></author><author><name sortKey="Mitani, Am" uniqKey="Mitani A">AM Mitani</name></author><author><name sortKey="Liu, X" uniqKey="Liu X">X Liu</name></author><author><name sortKey="Kodali, Bs" uniqKey="Kodali B">BS Kodali</name></author><author><name sortKey="Tsen, Lc" uniqKey="Tsen L">LC Tsen</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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