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Anesth Analg 2008; 106:672-673
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e318160fd6f
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LETTER TO THE EDITOR

Section Editor:
Lawrence Saidman

Predistention of the Epidural Space with Saline Before Catheter Insertion

Shmuel Evron, MD, and Tiberiu Ezri, MD

Wolfson Medical Center; Tel Aviv University; Holon 58100, Israel; tezri{at}netvision.net.il

In Response:

We thank Drs. Siddik-Sayyid and Baraka for their comments.1 Their results2 support the findings of our study,3 emphasizing that an important advantage of the predistention of the epidural space is a lower incidence of blood vessel trauma. Similar to their findings, we did not note that "dilution" by the predistention with saline reduced analgesic efficacy.

REFERENCES

  1. Siddik-Sayyid SM, Baraka AS. Predistention of the epidural space with saline before catheter insertion. Anesth Analg 2008;106:672[Free Full Text]
  2. Siddik-Sayyid SM, Taha SK, Aouad MT, Daaboul DG, Deeb PG, El Khatib MF, Baraka AS. The effect of injection of two vs 10 mL saline on the subsequent spread and quality of epidural analgesia in parturients. J Clin Anesth 2006; 18:575–9[Web of Science][Medline]
  3. Evron S, Gladkov V, Sessler DI, Khazin V, Sadan O, Boaz M, Ezri T. Predistention of the epidural space before catheter insertion reduces the incidence of intravascular epidural catheter insertion. Anesth Analg 2007;105:460–4[Abstract/Free Full Text]




This Article
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2008 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press