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[Identification of the epidural space using pressure waveform analysis (CompuFlo® technology): a case series].
A Helf1, T Schlesinger1, N Roewer1
1Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Würzburg, Oberdürrbacher Str. 6, 97080, Würzburg, Deutschland.
Der Anaesthesist
|September 22, 2019
Summary
The CompuFlo® technology offers an objective method for identifying the epidural space during anesthesia, showing high success rates in initial German-speaking trials. This innovation may help reduce complications like postdural puncture headaches.
Area of Science:
- Anesthesiology
- Medical Device Technology
Background:
- The loss of resistance technique for epidural space identification is subjective and can be unreliable.
- CompuFlo® technology offers objective pressure curve and acoustic signal feedback for needle placement.
Purpose of the Study:
- To report the initial experiences with CompuFlo® technology in German-speaking countries.
- To evaluate the efficacy and practicality of CompuFlo® in routine epidural procedures.
Main Methods:
- A series of 24 epidural procedures were performed using the CompuFlo® device in daily practice.
- Data on successful epidural space identification and any conversions to conventional techniques were recorded.
Main Results:
- The CompuFlo® device successfully identified the epidural space in 23 out of 24 cases.
- Initial cases required conversion to the conventional loss of resistance technique, leading to prolonged procedures.
Conclusions:
- CompuFlo® technology is a promising tool for epidural anesthesia, potentially improving accuracy.
- This technology may contribute to reducing complications such as postdural puncture headache.

