Epidural gravity flow technique for labor analgesia

If pressure variation in sync with the maternal pulse was not present, the needle was resited and the gravity flow technique was repeated. In essence, the gravity flow technique transforms a blind procedure into a procedure that provides objective visual feedback.3 Electronically transduced epidural...

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Published inRegional anesthesia and pain medicine Vol. 45; no. 9; pp. 686 - 687
Main Authors Grant, Gilbert J, Echevarria, Ghislaine C, Agoliati, Andrew P, Lax, Jerome, Cohen, Shaul
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.09.2020
Copyright by American Society of Regional Anesthesia and Pain Medicine
BMJ Publishing Group LTD
Subjects
Analgesics
Catheters
Childbirth & labor
Epidural
neuraxial blocks: epidural
obstetrics
Pain
Regional anesthesia
Research letter
United States > US
obstetrics
neuraxial blocks: epidural
regional anesthesia
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Summary:If pressure variation in sync with the maternal pulse was not present, the needle was resited and the gravity flow technique was repeated. In essence, the gravity flow technique transforms a blind procedure into a procedure that provides objective visual feedback.3 Electronically transduced epidural pressure waveforms serve as a confirmatory adjunct to the loss of resistance technique, reducing the thoracic primary epidural failure rate from 24% to 2% (p<0.002),4 but we are skeptical that electronic transduction will gain acceptance for childbirth, due to impracticalities inherent in a labor and delivery setting. Contributors All authors have met the following four criteria: (1) substantial contributions to the conception or design of the work, or the acquisition, analysis or interpretation of data.
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ISSN:1098-7339
1532-8651
DOI:10.1136/rapm-2019-101192