Sourabh Shrivastav
Department of Anaesthesiology, GAJRA RAJA Medical College, India
Publications
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Research Article
A Clinical Study for Comparison of Loss of Resistance Technique between EpiLOR® and Conventional Method for Identifying the Epidural Space
Author(s): Sandeep Singh Jadon*, Jitendra Agrawal, Neha Parmar and Sourabh Shrivastav
Background: Accurate identification of the epidural space is essential for effective neuraxial anesthesia. The conventional loss of resistance (LOR) technique, although widely used, is highly subjective and operator-dependent. This study compares the conventional air- based LOR method with a novel device-assisted approach using the EpiLOR® system—a balloon-based syringe that provides visual confirmation of epidural space entry. Methods: A prospective, randomized controlled trial was conducted on 60 patients undergoing elective gynecologic or orthopedic surgery under combined spinal-epidural anesthesia. Patients were randomized into two groups: Group C (conventional LOR) and Group EL (EpiLOR®). The primary outcomes were time to identify the epidural space and number of attempts. Secondary outcomes included ease of procedure, epi.. Read More»