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Paediatr Anaesth. 2013 Aug;23(8):747-50. doi: 10.1111/pan.12211. Epub 2013 Jun 14.

The Episure Autodetect syringe, a loss-of-resistance technique for locating the epidural space, used in pediatric patients.

Author information

1
Department of Anesthesiology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. l.tielens@anes.umcn.nl

Abstract

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.

KEYWORDS:

epidural anesthesia; pediatric; postoperative analgesia; postoperative pain

PMID:
23763707
DOI:
10.1111/pan.12211
[Indexed for MEDLINE]

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