The Episure Autodetect syringe, a loss-of-resistance technique for locating the epidural space, used in pediatric patients
SourcePaediatric Anaesthesia, 23, 8, (2013), pp. 747-750
Article / Letter to editor
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SubjectDCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation; DCN NN - Brain networks and neuronal communication NCEBP 7: Effective primary care and public health; DCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation
INTRODUCTION: The Episure Autodetect syringe, a spring-loaded syringe, is a loss-of-resistance syringe with an internal compression that applies constant pressure on the plunger. As the principle of loss-of-resistance is the same for adult and for pediatric patients, the Episure Autodetect syringe should be able to identify correctly the epidural space also in pediatric patients. METHODS: A retrospective review was carried out for all pediatric patients, in which the Episure Autodetect syringe was used for locating the epidural space between 2007 and 2011 in our department. RESULTS: In 17 pediatric patients (9 months-14 years, 7.5-43 kg weight), the Episure syringe was used. In all 17 patients, the epidural space was correctly identified using the spring-loaded syringe as evidenced by satisfactory analgesia. No accidental dural punctures or false loss-of-resistances were observed. CONCLUSION: The spring-loaded Episure Autodetect syringe might be a potentially useful loss-of-resistance syringe for identification of the epidural space in pediatric patients.
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