Suturing epidural catheters

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Epidural abscess complicating insertion of epidural catheters.

We present three cases of epidural abscess, all in patients in whom an epidural catheter had been inserted for postoperative pain management. In all three cases the infecting organism was Staphylococcus aureus and two patients had diabetes. The diagnosis was made within 3 days of epidural catheter removal in two cases, but in one the abscess did not present until after the patient had been disc...

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A comparison of two types of epidural catheters.

The purpose of this study was to compare two epidural catheters--the Portex epidural catheter and Vas-Cath catheter. One hundred and fifty patients in labour who received epidural anaesthesia were selected and either one or the other catheter was used, based on random assignment. Ease of insertion, maintenance and removal of the catheter were assessed, as was the incidence of blood return and p...

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Regression of sensory analgesia with lumbar epidural catheters.

TO the Editor-I read with interest the study by Boylan et al.' comparing epidural bupivacaine-morphine analgesia with patient-controlled analgesia after abdominal aortic surgery. However, I have a major concern. After a loading dose of 1 0 ml of 2% lidocaine followed by 15 ml of 0.25%) bupivacaine via a lumbar epidural catheter, sensory block in the epidural group was probably at an adequate th...

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Tunneled epidural catheters for prolonged analgesia in pediatric patients.

UNLABELLED We conducted this retrospective study to document the efficacy and safety, and demonstrate the spectrum of indications for subcutaneously tunneled epidural catheters in the management of prolonged pain in pediatric patients. The charts of 25 patients with prolonged pain that was unresponsive to conventional opioid therapy (10: end stage malignancy, 8: extensive abdominal surgery, 7: ...

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Radiological analysis of the position of epidural catheters in the thoracic epidural space

provided the original work is properly cited. CC Thoracic epidural catheterization is used widely for anesthesia and postoperative pain control in thoracic and abdominal surgery. Generally, an epidural catheter is inserted only 4–5 cm into the epidural space, as excessive catheter insertion causes complications like vascular injury and paresthesias [1]. Nevertheless, a catheter can often be ins...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 2000

ISSN: 0003-2409

DOI: 10.1046/j.1365-2044.2000.01798-31.x