A change in resistance? A survey of epidural practice amongst obstetric anaesthetists

Anaesthesia. 1998 Mar;53(3):238-43. doi: 10.1046/j.1365-2044.1998.00299.x.

Abstract

Five hundred members of the Obstetric Anaesthetists Association were surveyed regarding their technique for identification of the epidural space. Eighty-one per cent of the questionnaires were returned completed. Fifty-nine per cent of respondents first learned a loss of resistance to air technique, 33.4% to saline and 7.4% another technique. Presently, 37.1% and 52.7% use only a loss of resistance to air or saline, respectively. Six per cent use both techniques and 3.2% use other techniques. Twenty-eight per cent taught a loss of resistance to air, 57.2% taught a loss of resistance to saline and 12.9% taught both techniques. Twenty-three per cent changed from a loss of resistance to air, to a saline technique, and 4.2% vice versa. Forty-seven per cent of those using air felt that loss of resistance to air was not associated with a clinically significant difference in the incidence of accidental dural puncture compared with saline.

MeSH terms

  • Air
  • Anesthesia, Epidural / methods*
  • Anesthesia, Epidural / statistics & numerical data
  • Anesthesia, Obstetrical / methods*
  • Anesthesia, Obstetrical / statistics & numerical data
  • Anesthesiology / education
  • Dura Mater / injuries
  • Education, Medical, Graduate / methods
  • Female
  • Health Care Surveys
  • Humans
  • Medical Staff, Hospital
  • Practice Patterns, Physicians'*
  • Pregnancy
  • Sodium Chloride
  • Teaching
  • United Kingdom

Substances

  • Sodium Chloride