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KMID : 0352120170320010048
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Journal of Kyung Hee University
2017 Volume.32 No. 1 p.48 ~ p.51
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Confirmation of Epidural Catheter Placement in a Pregnant Woman by using an Electrical Stimulating Epidural Catheter with Conductive Guidewire: A Case Report
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Kim Jung-Eun
Kang Sung-Wook
Lee Chung-Hun
Lee Min-Ki
Choi Sang-Sik
Kim Keon-Sik
Park Sung-Wook
Kang Hee-Yong
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Abstract
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Although epidural analgesia during labor can effectively attenuate labor and delivery pain, the technique can be difficult for anesthesiologists to perform. Loss of resistance (LOR) technique to determine the epidural space is the most widely used method for epidural catheter placement. However, it is difficult to identify LOR in parturient women due to obesity and edema. We present a case of successful administration of epidural analgesia using an electrical stimulating catheter that allowed us to confirm the epidural space in pregnant women. A 30-years-old woman with a gestation of 39 weeks and 6 days was admitted for painless childbirth. For pain control, we tried epidural analgesia and applied electrical stimulation to confirm epidural placement of the catheter. The authors could confirm the epidural space correctly using an electrical stimulating catheter in pregnant women. LOR technique with electrical nerve stimulation can increase the success rate of epidural analgesia during labor.
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KEYWORD
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Conductive guidewire, Electrically stimulating catheter, Epidural analgesia during labor, Loss of resistance, Pregnant woman
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