[Identification of the peridural space with the infusion method in relation to the incidence of inadvertent puncture of the dura].
In 868 cases the identification of the epidural space was performed by plugging a running infusion drip. After accurate identification of the epidural space the patient received either 0.5% or 0.75% bupivacaine without adrenalin for operations on the lower extremities, at the perineum and for lower and upper abdominal surgery. Analgesia was adequate . The only disadvantage of this method as with the "loss of resistance" technique consists in the fact that, if inadvertent dural puncture occurs, it is impossible to recognize the difference between the epidural and spinal space, because the saline solution might reach in any case into the spinal space. In the last 512 cases in which we used the "infusion" technique we observed only 5 patients with an inadvertent dural puncture. Thus the frequency of this complication was below 1%. This is - even according to the latest publications - quite a satisfactory result. An unidentified accidental dural puncture and associated complication did not occur.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000379:methods; D004388:Dura Mater / Q000293:injuries*; D004824:Epidural Space / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D007278:Injections, Spinal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology
Identifizierung des Periduralraumes mittels der Infusionsmethode in bezug auf die Häufigkeit der unbeabsichtigten Duraperforation.