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Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement
Joint Authors
Sellmann, Timur
Bierfischer, Victoria
Schmitz, Andrea
Weiss, Martin
Rabenalt, Stefanie
MacKenzie, Colin
Kienbaum, Peter
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-21
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
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 were subcutaneously tunneled and sutured (tunneled) or fixed with adhesive tape (taped).
The difference of EC length at skin surface level immediately after insertion and before removal was determined and the absolute values were averaged.
Postoperative pain was evaluated by numeric rating scale twice daily and EC tips were screened microbiologically after removal.
Results.
Both groups did not differ with respect to treatment duration (tunneled: 109 hours ±46, taped: 97 ± 37 ) and postoperative pain scores.
Tunneling significantly reduced average extent (tunneled: 3 mm ±7, taped: 10 ± 18 ) and incidence of clinically relevant EC dislocation (>20 mm, tunneled: 1/60, taped: 9/61).
Bacterial contamination showed a tendency to be lower in patients with tunneled catheters (8/59, taped: 14/54, P = 0 .
08 ).
Conclusion.
Thorough fixation of EC by tunneling and suturing decreases the incidence and extent of dislocation and potentially even that of bacterial contamination.
American Psychological Association (APA)
Sellmann, Timur& Bierfischer, Victoria& Schmitz, Andrea& Weiss, Martin& Rabenalt, Stefanie& MacKenzie, Colin…[et al.]. 2014. Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1050326
Modern Language Association (MLA)
Sellmann, Timur…[et al.]. Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement. The Scientific World Journal No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-1050326
American Medical Association (AMA)
Sellmann, Timur& Bierfischer, Victoria& Schmitz, Andrea& Weiss, Martin& Rabenalt, Stefanie& MacKenzie, Colin…[et al.]. Tunneling and Suture of Thoracic Epidural Catheters Decrease the Incidence of Catheter Dislodgement. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1050326
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1050326