Predistention of the Epidural Space Before Catheter Insertion Reduces the Incidence of Intravascular Epidural Catheter Insertion

2008 ◽  
Vol 2008 ◽  
pp. 180-181
Author(s):  
D.H. Chestnut
Keyword(s):  
Epidural Catheter ◽  
Epidural Space ◽  
Catheter Insertion

Predistention of the Epidural Space Before Catheter Insertion Reduces the Incidence of Intravascular Epidural Catheter Insertion

2008 ◽  
Vol 28 (2) ◽  
pp. 98-99
Author(s):  
S. Evron ◽  
V. Gladkov ◽  
D.I. Sessler ◽  
V. Khazin ◽  
O. Sadan ◽  
...  
Keyword(s):  
Epidural Catheter ◽  
Epidural Space ◽  
Catheter Insertion

Prospective Examination of Epidural Catheter Insertion

1996 ◽  
Vol 84 (1) ◽  
pp. 88-93 ◽  
Author(s):  
Robert D'Angelo ◽  
Brenda L. Berkebile ◽  
J. C. Gerancher
Keyword(s):  
Epidural Analgesia ◽  
Epidural Catheter ◽  
Cesarean Delivery ◽  
Epidural Space ◽  
Local Anesthetic ◽  
Catheter Insertion ◽  
Labor And Delivery ◽  
Prolonged Labor ◽  
Epidural Catheters ◽  
Insertion Length

Background Although it is generally accepted that inserting epidural catheters 3-4 cm into the epidural space minimizes complications, no prospective randomized examination of epidural catheter insertion length has been published. Methods Eight hundred healthy parturients requesting epidural analgesia were randomized to have open-tip epidural catheters inserted 2, 4, 6, or 8 cm within the epidural space. The incidences of intravenous cannulation, unilateral sensory analgesia, and subsequent catheter dislodgment were recorded. Catheter insertions that resulted in intravenous cannulation or unilateral analgesia were incrementally withdrawn and retested with additional local anesthetic to determine the effectiveness of epidural catheter manipulation. Results Epidural catheters inserted 8 cm within the epidural space were more likely to result in intravenous cannulation. Epidural catheters inserted 2 cm within the epidural space were less likely to result in unilateral sensory analgesia but were more likely to become dislodged. Twenty-three percent of epidural catheters inserted > 2 cm within the epidural space required manipulation. Epidural catheters inserted 2 or 4 cm required replacement more often than epidural catheters inserted 6 or 8 cm. Ninety-one percent and 50% of epidural catheters that resulted in unilateral sensory analgesia and intravenous cannulation, respectively, provided analgesia for labor and delivery after incremental withdrawal. Conclusions Epidural catheters should be inserted either 2 cm when rapid labor is anticipated or 6 cm when prolonged labor or cesarean delivery is likely. Additionally, epidural catheters that result in intravenous cannulation or unilateral sensory analgesia can be manipulated effectively to provide analgesia for labor and delivery.

Predistention of the Epidural Space Before Catheter Insertion Reduces the Incidence of Intravascular Epidural Catheter Insertion

2007 ◽  
Vol 105 (2) ◽  
pp. 460-464 ◽  
Author(s):  
Shmuel Evron ◽  
Vladimir Gladkov ◽  
Daniel I. Sessler ◽  
Vadim Khazin ◽  
Oscar Sadan ◽  
...  
Keyword(s):  
Epidural Catheter ◽  
Epidural Space ◽  
Catheter Insertion

Spinal Abscess after Epidural Catheter Insertion: A Case Report

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376728-s-0034-1376728
Author(s):  
T. Velnar ◽  
G. Bunc ◽  
J. Ravnik
Keyword(s):  
Case Report ◽  
Epidural Catheter ◽  
Catheter Insertion ◽  
Spinal Abscess
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