The success and safety of epidural anesthesia depend on accurate identification of the epidural space, which is traditionally done using the loss of resistance technique, based on the operators “feel” of the loss of resistance, but not on objective measuring of that pressure change. Recently, I was introduced to a potentially game-changing epidural syringe that objectively streamlines epidural space localization. Let’s review it in this video! The new syringe system actually monitors the loss of resistance objectively during needle advancement. As the needle tip enters the epidural space, the sudden drop in pressure—known as the "loss of resistance" occurs. With the loss of resistance, a color indicator ring is activated. As you see in the video, this mimics the loss of resistance with a traditional epidural syringe, objectively indicating to the operator that the syringe is in the epidural space, even if the operator is fails to perceive that pressure change manually.
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