Lateral deviation of four types of epidural catheters from the lumbar epidural space into the intervertebral foramen

التفاصيل البيبلوغرافية
العنوان: Lateral deviation of four types of epidural catheters from the lumbar epidural space into the intervertebral foramen
المؤلفون: Masahiro Miura, Yoshimasa Oyama, Tetsuya Uchino, Takaaki Kitano, Shigekiyo Matsumoto, Chihiro Shingu
المصدر: Journal of Anesthesia
سنة النشر: 2015
مصطلحات موضوعية: Adult, Anesthesia, Epidural, Epidural Space, Male, medicine.medical_specialty, Catheters, Epidural anesthesia, Contrast Media, Catheterization, 03 medical and health sciences, 0302 clinical medicine, Lumbar, Epidurography, 030202 anesthesiology, Anesthesiology, Medicine, Humans, Intervertebral foramen, Aged, Retrospective Studies, business.industry, Incidence, 030208 emergency & critical care medicine, Deviation, Middle Aged, Epidural space, Surgery, Radiography, Contrast medium, Catheter, Epidural catheter, medicine.anatomical_structure, Anesthesiology and Pain Medicine, Anesthesia, Female, Original Article, Iohexol, business, medicine.drug
الوصف: Background During epidural anesthesia, the catheter tip occasionally deviates from the epidural space into the intervertebral foramen, resulting in inadequate anesthesia. Methods During postoperative plain radiography, iohexol was injected via the epidural catheter to determine its position and to observe the spread of the material. After exclusion of seven patients with catheters that migrated into the subcutaneous area and 25 patients with no evidence of the contrast medium, 415 patients were evaluated. We retrospectively compared patients to determine whether the incidence of deviation into the intervertebral foramen differed between four types of epidural catheters. We also investigated the load applied to the catheter tip using a Shimadzu Autograph AG-X-500 N-111 universal testing machine. Results Deviation of the epidural catheter into the intervertebral foramen was observed in eight and 33 patients in the Hakko and Perifix Soft tip catheter groups, respectively. The incidence of deviation was higher in the Perifix Soft tip catheter group, and lower in the FlexTip Plus and Perifix FX catheter groups. A rapid increase was observed in the force exerted on the tips of the Hakko and Perifix Soft tip catheters, while the force transmitted to the tips of the FlexTip Plus and Perifix FX catheters gradually increased and then reached a plateau at a low level. Conclusions The incidence of deviation was significantly lower with spiral-type catheters than with other types of catheters. This might be attributable to the gradual transmission of a lower level of force to the tip in spiral-type catheters.
تدمد: 1438-8359
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::72d27576f2727cfea8fedeb746dee989
https://pubmed.ncbi.nlm.nih.gov/27137846
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....72d27576f2727cfea8fedeb746dee989
قاعدة البيانات: OpenAIRE