Epidural stimulation test vs epidural ECG test for checking epidural catheter placement

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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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Confirmation of epidural catheter placement using nerve stimulation.

PURPOSE To examine the reliability of low current electrical epidural stimulation to confirm epidural catheter placement. METHODS Forty patients with epidural catheters (19G Arrow Flextip plus) already in place for post-operative pain management were studied. An adapter (Arrow-Johans ECG Adapter) was attached to the connector of the epidural catheter. The epidural catheter and adapter were fi...

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Epidural abscess after multiple lumbar punctures for labour epidural catheter placement

Epidural catheterization is routinely used by anaesthesiologists to provide labour and post-operative analgesia. In most cases, catheter placement is without serious side effects and uneventful. However, epidural abscess is a rare complication that may result in severe morbidity. We present a case of epidural abscess after labour epidural catheter placement in a healthy 36-year-old female who p...

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Failure of a lidocaine test dose to identify subdural placement of an epidural catheter.

We report the failure of a test dose of 3 ml lidocaine 1.5 per cent with 15 micrograms epinephrine to identify subdural placement of an epidural catheter in a parturient. Thirty-five minutes after injection of 13 ml lidocaine 1.5 per cent, intended to provide epidural analgesia, the patient developed an extensive sensory neural blockade. Some motor control was maintained and sympathetic block w...

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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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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2005

ISSN: 0007-0912

DOI: 10.1093/bja/aei613