Safe practices in epidural catheter tunneling

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Wandering epidural catheter.

A MALE patient, 73 yr old, had a Flexitip Plus (Arrow International, Reading, PA) 19gauge end-hole, wire-reinforced thoracic epidural catheter inserted for postthoracotomy pain management. He underwent highresolution spiral computed tomography scan with the catheter in situ before its use to evaluate previous bronchoscopic findings. A composite set of sagittal computed tomography images (figs. ...

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Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement

BACKGROUND Dislocation of epidural catheters (EC) is associated with early termination of regional analgesia and rare complications like epidural bleeding. We tested the hypothesis that maximum effort in fixation by tunneling and suture decreases the incidence of catheter dislocation. METHODS Patients scheduled for major surgery (n = 121) were prospectively randomized in 2 groups. Thoracic EC...

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Epidural catheter fixation. A comparison of subcutaneous tunneling versus device fixation technique.

BACKGROUND AND AIMS The technique of securing the epidural catheter has a major bearing on the efficacy of epidural analgesia. Specific fixator devices, for e.g., Lockit epidural catheter clamp, which successfully prevents catheter migration, are available. The possibility of catheter snapping and surgical retrieval has been reported with tunneling of catheters. These techniques have not been c...

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Strategic placement of epidural catheter

Corresponding author: Jae-Hang Shim, M.D., Ph.D., Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, 249-1, Gyomun-dong, Guri 471-701, Korea. Tel: 82-31-560-2390, Fax: 82-31-563-1731, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by...

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ژورنال

عنوان ژورنال: Journal of Anaesthesiology Clinical Pharmacology

سال: 2012

ISSN: 0970-9185

DOI: 10.4103/0970-9185.92476