Open AccessEase of lumbar epidural catheter insertion with prepuncture ultrasound as guidance compared with conventional palpatory technique when performed by anesthesiology residents: A randomized controlled trial
Author(s) -
Jagadish Anguraj,
Srinivasan Swaminathan,
Prasanna Udupi Bidkar,
Suman Lata Gupta,
S Adinarayanan
Publication year - 2021
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/joacp.joacp_394_19
Subject(s) - medicine , lumbar , insertion time , surgery , ultrasound , catheter , randomized controlled trial , lumbar puncture , patient satisfaction , anesthesia , anesthesiology , radiology , cerebrospinal fluid , airway
Lumbar epidural catheter insertion is conventionally performed by anesthesia residents by palpation of anatomical landmarks with relatively blind localization of epidural space which may lead to an increase in failure rate. We aim to compare the ease of lumbar epidural catheterization using prepuncture ultrasound as guidance with that of conventional palpatory technique. Comparisons were made with reference to number of insertion attempts, total time taken for the procedure, frequency of dural puncture, and overall satisfaction score as assessed by Likert's scale.