Minerva anestesiologica
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Minerva anestesiologica · Jan 2017
Randomized Controlled Trial Comparative StudyMay pre-procedure neuroaxial ultrasound improve the identification of potential epidural space when compared with anatomical landmarks? A prospective randomized study.
Regional epidural analgesia is considered the gold standard for pain treatment in labor. However, epidural catheter placement may be a challenging procedure because of the difficulty in the palpation of anatomical landmarks, particularly in pregnant women. Pre-procedural neuroaxial ultrasound may facilitate the procedure. ⋯ The US-assisted technique for epidural catheter placement for labor analgesia is safe, effective, easy to perform, and is a valuable aid to improve the identification of the epidural space compared with the palpation of anatomical landmarks and the loss of resistance technique. Pre-puncture ultrasound assessment shows the exact location of the intervertebral space, the optimal point of insertion and the tilt angle of the needle, the depth of the epidural space and any anatomical abnormalities of the spine, thereby increasing the success rate and reducing procedural complications of the blind approach.
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Minerva anestesiologica · Jan 2017
Editorial CommentWhat am I compressing with my supraglottic device?