Regional anesthesia

Primary failure of thoracic epidural analgesia: revisited

Reg Anesth Pain MedPublished Narrative review

Study context

Population
Patients receiving thoracic epidural analgesia
Comparison
Confirmatory modalities vs conventional loss-of-resistance
Outcome
Primary failure of thoracic epidural analgesia

Main finding

As reported in the abstract

Primary TEA failure

Incidence of primary thoracic epidural analgesia (TEA) failure in teaching centers can exceed

20%

Fluoroscopy, epidural waveform analysis and possibly electrical stimulation could decrease primary TEA failure to

2%

Original publication

Primary failure of thoracic epidural analgesia: revisited. Reg Anesth Pain Med. Published 16 December 2023. doi:10.1136/rapm-2023-105151

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