Volume 20 No 18 (2022)
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Comparison of Dural Puncture Epidural Technique Versus Conventional Epidural Technique for Adequate Anesthesia during Vaginal Surgeries (Comparative Controlled Study)
Reham Ali , Amena Omran , Tarek Abd el-Bar , Yasmeen Salaheldin , Fatma Magdi, Khaled Elsetouhy, Mazen Abdel-Lattif and Maha Youssef. Department of Anesthesia at Kasr Al Ainy Hospital Cairo
Abstract
Background: The dural puncture epidural technique (DPE) is a modification of the epidural technique. This work aims to evaluate whether the dural puncture epidural improves sacral block anesthesia when compared with the conventional epidural in vaginal surgeries. Methods: Our research was performed at the Cairo University Obstetrics and Gynecology Hospital on 82 ASA I & II patients ranging in age from 25 to 55 undergoing elective vaginal operations. The patients were randomized into two groups: Group A: conventional epidural (n =41). Group B: DPE (n=41). The primary outcome was to compare the incidence of bilateral sacral blockage. Other outcomes included: Onset of bilateral sacral blockage, maximum sensory level, time for (anesthesia to T10, complete motor block, and first rescue analgesic), and occurrence of asymmetric or any side effects. Results: We found although both techniques are efficacious for sacral anesthesia, DPE has the potential to enhance the onset without increasing any adverse effects. Conclusion: DPE technique and conventional epidural technique, both are efficacious for vaginal surgeries. When compared to the traditional epidural procedure, the dural puncture epidural has the potential to improve the onset. We conclude that the DPE seems to provide an acceptable risk-benefit ratio for inducing and sustaining anesthesia
Keywords
Epidural anesthesia, Dural puncture epidural, sacral block, vaginal surgeries
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