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Messages - drsamgeorge

#1
Obstetric Anesthesia / Re: Epidural with Air or Saline
October 30, 2012, 03:44:06 PM
I find it better to use air for thoracic epidurals and saline for lumbar epidurals.
I use continuous LOR technique, I find early loss of fluid occurring with the saline technique as you are pushing especially elderly people with lax tissue.

Therefore I prefer saline technique in young( mostly needing labour analgesia)
In thoracic epidural with slightest appearance of fluid I do not want to proceed any further, all these make me prefer saline technique for Thoracic epidurals and saline for lumbar epidurals.
thanks