The objective of this study was to compare an Acoustic Puncture Assist Device-Epidural Locator (APAD-EL) with the "pop sensation" (POP) and "lack of resistance" (LOR) commonly used to confirm penetration of the ligamentum flavum and to ensure correct epidural placement in dogs and cats. We recruited 38 dogs and cats undergoing surgery and receiving epidural analgesia. Two anesthetists performed epidural puncture using the POP and LOR signs.
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