The BiP Test: a modified loss of resistance technique for confirming epidural needle placement
Correct identification of the epidural space minimizes complications and ensures successful epidural blockade. The loss of resistance technique is the most common technique used for identification of the epidural space. However, sometimes loss of resistance occurs when the needle is not actually in...
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| Veröffentlicht in: | Pain physician 2006-10, Vol.9 (4), p.323-325 |
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| description | Correct identification of the epidural space minimizes complications and ensures successful epidural blockade. The loss of resistance technique is the most common technique used for identification of the epidural space. However, sometimes loss of resistance occurs when the needle is not actually in the epidural space. The injection in this instance will result in the medication not being deposited in the epidural space. At other times, loss of resistance is not definitive. Further advancement of the needle may predispose to a wet tap.
A simple manual technique was devised using pressure applied with two fingers (bi-digital pressure test; BiP Test).
The technique helps distinguish true loss of resistance from a false loss of resistance.
This technique adds a useful confirmatory test to the already well-known loss of resistance technique used to verify the position of the epidural needle. |
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A simple manual technique was devised using pressure applied with two fingers (bi-digital pressure test; BiP Test).
The technique helps distinguish true loss of resistance from a false loss of resistance.
This technique adds a useful confirmatory test to the already well-known loss of resistance technique used to verify the position of the epidural needle.</description><identifier>ISSN: 1533-3159</identifier><identifier>PMID: 17066116</identifier><language>eng</language><publisher>United States: American Society of Interventional Pain Physician</publisher><subject>Epidural ; Epidural Space - anatomy & histology ; Epidural Space - physiology ; Epidural Space - surgery ; Humans ; Injections, Epidural - instrumentation ; Injections, Epidural - methods ; Injections, Epidural - standards ; Lateral Ligament, Ankle - anatomy & histology ; Lateral Ligament, Ankle - physiology ; Lateral Ligament, Ankle - surgery ; Monitoring, Physiologic - methods ; Monitoring, Physiologic - standards ; Needles - standards ; Nerve Block - instrumentation ; Nerve Block - methods ; Nerve Block - standards ; Pressure ; Spinal Canal - anatomy & histology ; Spinal Canal - physiology ; Spinal Canal - surgery ; Spine - anatomy & histology ; Spine - physiology ; Spine - surgery</subject><ispartof>Pain physician, 2006-10, Vol.9 (4), p.323-325</ispartof><rights>2006. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17066116$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carden, Edward</creatorcontrib><creatorcontrib>Ori, Arti</creatorcontrib><title>The BiP Test: a modified loss of resistance technique for confirming epidural needle placement</title><title>Pain physician</title><addtitle>Pain Physician</addtitle><description>Correct identification of the epidural space minimizes complications and ensures successful epidural blockade. The loss of resistance technique is the most common technique used for identification of the epidural space. However, sometimes loss of resistance occurs when the needle is not actually in the epidural space. The injection in this instance will result in the medication not being deposited in the epidural space. At other times, loss of resistance is not definitive. Further advancement of the needle may predispose to a wet tap.
A simple manual technique was devised using pressure applied with two fingers (bi-digital pressure test; BiP Test).
The technique helps distinguish true loss of resistance from a false loss of resistance.
This technique adds a useful confirmatory test to the already well-known loss of resistance technique used to verify the position of the epidural needle.</description><subject>Epidural</subject><subject>Epidural Space - anatomy & histology</subject><subject>Epidural Space - physiology</subject><subject>Epidural Space - surgery</subject><subject>Humans</subject><subject>Injections, Epidural - instrumentation</subject><subject>Injections, Epidural - methods</subject><subject>Injections, Epidural - standards</subject><subject>Lateral Ligament, Ankle - anatomy & histology</subject><subject>Lateral Ligament, Ankle - physiology</subject><subject>Lateral Ligament, Ankle - surgery</subject><subject>Monitoring, Physiologic - methods</subject><subject>Monitoring, Physiologic - standards</subject><subject>Needles - standards</subject><subject>Nerve Block - instrumentation</subject><subject>Nerve Block - methods</subject><subject>Nerve Block - standards</subject><subject>Pressure</subject><subject>Spinal Canal - anatomy & histology</subject><subject>Spinal Canal - physiology</subject><subject>Spinal Canal - surgery</subject><subject>Spine - anatomy & histology</subject><subject>Spine - physiology</subject><subject>Spine - surgery</subject><issn>1533-3159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpd0M1KxDAUhuEuFGccvQUJCO4KTdIkjTsd_IMBXdStJU1OnAxpUpN24d1bcNy4OpuHw8t3Uqwxo7SkmMlVcZ7zoaool5KeFSssKs4x5uvio90DundvqIU83SKFhmicdWCQjzmjaFGC7PKkggY0gd4H9zUDsjEhHYN1aXDhE8HozJyURwHAeECjVxoGCNNFcWqVz3B5vJvi_fGh3T6Xu9enl-3drhwxI1MJuDFELaVcGiKY1JbhmjJOasx5XwMRivWMc0F039C6wpT0srKMiAYLoXq6KW5-_44pLn156gaXNXivAsQ5d7yRUjLKF3j9Dx7inMLS1hHOmJSCVXJRV0c19wOYbkxuUOm7-9uN_gDsVGad</recordid><startdate>200610</startdate><enddate>200610</enddate><creator>Carden, Edward</creator><creator>Ori, Arti</creator><general>American Society of Interventional Pain Physician</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200610</creationdate><title>The BiP Test: a modified loss of resistance technique for confirming epidural needle placement</title><author>Carden, Edward ; Ori, Arti</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p152t-e18d2a31569d2759cf51435624166b4e27a5b56672cb8340132b90f5278177ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Epidural</topic><topic>Epidural Space - anatomy & histology</topic><topic>Epidural Space - physiology</topic><topic>Epidural Space - surgery</topic><topic>Humans</topic><topic>Injections, Epidural - instrumentation</topic><topic>Injections, Epidural - methods</topic><topic>Injections, Epidural - standards</topic><topic>Lateral Ligament, Ankle - anatomy & histology</topic><topic>Lateral Ligament, Ankle - physiology</topic><topic>Lateral Ligament, Ankle - surgery</topic><topic>Monitoring, Physiologic - methods</topic><topic>Monitoring, Physiologic - standards</topic><topic>Needles - standards</topic><topic>Nerve Block - instrumentation</topic><topic>Nerve Block - methods</topic><topic>Nerve Block - standards</topic><topic>Pressure</topic><topic>Spinal Canal - anatomy & histology</topic><topic>Spinal Canal - physiology</topic><topic>Spinal Canal - surgery</topic><topic>Spine - anatomy & histology</topic><topic>Spine - physiology</topic><topic>Spine - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carden, Edward</creatorcontrib><creatorcontrib>Ori, Arti</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pain physician</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carden, Edward</au><au>Ori, Arti</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The BiP Test: a modified loss of resistance technique for confirming epidural needle placement</atitle><jtitle>Pain physician</jtitle><addtitle>Pain Physician</addtitle><date>2006-10</date><risdate>2006</risdate><volume>9</volume><issue>4</issue><spage>323</spage><epage>325</epage><pages>323-325</pages><issn>1533-3159</issn><abstract>Correct identification of the epidural space minimizes complications and ensures successful epidural blockade. The loss of resistance technique is the most common technique used for identification of the epidural space. However, sometimes loss of resistance occurs when the needle is not actually in the epidural space. The injection in this instance will result in the medication not being deposited in the epidural space. At other times, loss of resistance is not definitive. Further advancement of the needle may predispose to a wet tap.
A simple manual technique was devised using pressure applied with two fingers (bi-digital pressure test; BiP Test).
The technique helps distinguish true loss of resistance from a false loss of resistance.
This technique adds a useful confirmatory test to the already well-known loss of resistance technique used to verify the position of the epidural needle.</abstract><cop>United States</cop><pub>American Society of Interventional Pain Physician</pub><pmid>17066116</pmid><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1533-3159 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Epidural Epidural Space - anatomy & histology Epidural Space - physiology Epidural Space - surgery Humans Injections, Epidural - instrumentation Injections, Epidural - methods Injections, Epidural - standards Lateral Ligament, Ankle - anatomy & histology Lateral Ligament, Ankle - physiology Lateral Ligament, Ankle - surgery Monitoring, Physiologic - methods Monitoring, Physiologic - standards Needles - standards Nerve Block - instrumentation Nerve Block - methods Nerve Block - standards Pressure Spinal Canal - anatomy & histology Spinal Canal - physiology Spinal Canal - surgery Spine - anatomy & histology Spine - physiology Spine - surgery |
| title | The BiP Test: a modified loss of resistance technique for confirming epidural needle placement |
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