Advancement of epidural catheter from lumbar to thoracic space in children: Comparison between 18G and 23G catheters.

Journal of Anaesthesiology, Clinical Pharmacology
Dalim Kumar BaidyaArun Kumar Gupta

Abstract

Lumbar-to-thoracic advancement of epidural catheter is a safe alternative to direct thoracic placement in children. In this prospective randomized study, success rate of advancement of two different types and gauges of catheter from lumbar-to-thoracic space were studied. Forty ASA I and II children (up to 6 years) undergoing thoracic or upper-abdominal surgery were allocated to either Group I (18G catheter) or Group II (23G catheter). After induction of general anesthesia a pre-determined length of catheter was inserted. Successful catheter placement was defined as the catheter tip within two segment of surgical incision in radio-contrast study. Intra-operative analgesia was provided by epidural bupivacaine and intravenous morphine. Post-operative analgesia was provided with epidural infusion of 0.1% bupivacaine+1mcg/ml fentanyl. Catheter advancement was successful in 3 cases in Group I and 2 cases in Group II. Five different types of catheter positions were found on X-ray. Negative correlation was found between age and catheter advancement [significance (2-tailed) =0.03]. However, satisfactory post-operative analgesia was obtained in 35 cases. Positive correlation was found between infusion rate, the number of segment of gap b...Continue Reading

References

Aug 1, 1988·Anesthesiology·A T BösenbergJ W Downing
Dec 1, 1994·British Journal of Anaesthesia·S K Boey, L E Carrie
Jul 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C Berde
Apr 1, 1993·Journal of Pediatric Surgery·D MurrellR C Cohen
Sep 1, 1996·Anesthesia and Analgesia·F Asato, F Goto
Dec 4, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·G OzalpN Kadiogullari
Aug 10, 2000·Anesthesiology Clinics of North America·D A Markakis
Jan 28, 2005·Anesthesia and Analgesia·Darryl BerkowitzScott D Cook-Sather

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Citations

Feb 14, 2014·Journal of Anesthesia·Souvik MaitraPuneet Khanna
Jul 8, 2014·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Souvik MaitraMinu Bajpai
Nov 20, 2018·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Lucyna TomaszekHalina Komotajtys
Jul 18, 2019·A&A Practice·Erik B Smith, Richard Hardart

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Methods Mentioned

BETA
X-ray

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