Practical problems of continuous axillary block using tuohy needle and epidural catheter.
نویسندگان
چکیده
منابع مشابه
Ultrasound-guided Continuous Axillary Brachial Plexus Block Using a Nerve Stimulating Catheter: EpiStim® Catheter
Brachial plexus block (BPB) under ultrasound guidance has come to be widely used. However, nerve injury has been reported following ultrasound-guided BPB. We hypothesized that BPB under ultrasound guidance in conjunction with real-time electrical nerve stimulation would help us prevent nerve injury and do more successful procedure. Here, we report the successful induction and maintenance of ult...
متن کاملA Modified Tuohy Needle.
When introducing a catheter into the epidural space, difficulty is sometimes encountered if the catheter tends to bend in the needle hub. This often occurs if resistance to the onward movement of the catheter is met. Kinking can result with consequent weakening of the catheter, and even more difficulty in advancing into the epidural space. To overcome this, a Tuohy needle has been specially mod...
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The superior hypogastric plexus block (SHPB) is used for treating pelvic pain, especially in patients with gynecological malignancies. Various approaches to this procedure have been reported due to the anatomic obstacles of a high iliac crest or large transverse process of the 5(th) lumbar vertebra. Here, we report a new technique of superior hypogastric plexus block using a unilateral single-n...
متن کاملTowards a realistic in vitro experience of epidural Tuohy needle insertion.
The amount of pressure exerted on the syringe and the depth of needle insertion are the two key factors for successfully carrying out epidural procedure. The force feedback from the syringe plunger is helpful in judging the loss of pressure, and the depth of the needle insertion is crucial in identifying when the needle is precisely placed in the epidural space. This article presents the develo...
متن کاملWhat if the epidural catheter needs to be fixed more than fifteen centimetres at skin?
Epidural catheters inserted 8 cm within the epidural space are more likely to result in intravenous cannulation and unilateral block1. Epidural catheters inserted 2 or 4 cm within the epidural space are more likely to be dislodged than epidural catheters inserted 6 or 8 cm.1 Obese patients are at particular risk of epidural catheter displacement2. It is recommended that epidural catheters shoul...
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ژورنال
عنوان ژورنال: THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
سال: 1984
ISSN: 0285-4945,1349-9149
DOI: 10.2199/jjsca.4.318