Current Epidural Practice – Results of a Survey of Military Anaesthetists

Abstract

ObjectivesAs epidurals are now used for pain relief on deployment a survey was conducted to look at the current epidural practice of UK military anaesthetists. The aim was to identify any potential issues with regard to equipment and training to allow future development of pre-deployment training. MethodsAn internet based survey was carried out. All military anaesthetists were sent an e-mail containing a link to the survey and the results of those who responded were analysed. ResultsA total of 49 surveys were completed. 78% of respondents carried out epidurals more than once a month, in a wide range of specialities. There was considerable variation in methods of securing epidurals and in drug choice amongst respondents. ConclusionsThe results of this survey show that whilst epidurals are commonly carried out amongst military anaesthetists during their UK practice, there is significant variation within the practice. Areas have been identified for development of educational courses, for example methods of securing epidurals, and these have already been acted upon.

Penggunaan Teknik Obat dan Permasalahan Blokade Epidural di Wilayah Jawa Barat pada Tahun 2015

“…7 Penggunaan obat yang digunakan untuk analgesi epidural paling banyak di Inggris adalah bupivakain 0,1% dengan adjuvan fentanil 4 mcg/mL, bupivakain 0,125% dengan adjuvan fentanil 2 mcg/ mL, bupivakain 0,125% dengan adjuvan fentanil 4 mcg/mL, yaitu sebanyak 28,5%, 14,2%, dan 10,7%. 15 Dokter spesialis anestesi yang menggunakan adjuvan untuk blokade epidural di Jerman sebesar 62%, dari angka tersebut didapatkan 56,5% menggunakan sufentanil, 5% menggunakan fentanil, dan 1,5% menggunakan morfin. 3 Adjuvan yang paling banyak digunakan oleh dokter anestesi di Jawa Barat adalah fentanil.…”

Trauma pain – a military perspective

“…Continuous peripheral nerve catheters and, if conditions allow, epidurals are invaluable. 10,11 Naturally, other than infections there are two significant concerns. The first of these is masking a compartment syndrome, but we have an understanding with our surgical colleagues that if such a situation is likely to occur, elective prophylactic fasciotomies are encouraged.…”