Indian Journal of Clinical Anaesthesia


TECHNICAL STUDY OF EPIDURAL ANALGESIA IN GYNAECOLOGICAL SURGERY


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Author Details: Nita D Gosai, Dipika P Patel, Dr Rekha N Solanki, Maharshi B Pandya, Deven B Gohel, Bipin M Patel

Volume : 2

Issue : 1

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 36

Article End Page : 40


Abstract

Aim: To study ease of location of epidural space, distance of epidural space from skin, difficulties encountered during location of space and insertion of catheter.
Material & Method: 60 patients posted for gynecological surgery under ASA grade I/II were randomly allocated in 4 groups. 15 patients in each receives midline epidural by hanging drop technique, midline epidural by loss of resistance technique, paramedian epidural by hanging drop technique and paramedian epidural by loss of resistance technique. Epidural depth by sterile marking ink and difficulties during insertion of needle and catheter were recorded.
Observation & Results: We observed that epidural space encountered comparatively more deeper in paramedian approach. Difficulties were less encountered during paramedian approach. Ease of location was better with loss of resistance technique.
Conclusion: We found no difference between the hanging drop and loss of resistance technique for identifying the lumber epidural space. But efficacy is better with the loss of resistance technique compared with hanging drop technique.

Key Words: Hanging Drop, Loss of Resistance, Epidural, Approach, Gynec surgery

Doi No:-10.18231

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