Incidence of infection in non-tunnelled thoracic epidural catheters after major abdominal surgery.

Acta Anaesthesiologica Scandinavica
Heike VogelsangJennifer Herzog-Niescery

Abstract

Thoracic epidural analgesia is beneficial after major abdominal surgery, though side-effects and complications are rare but potentially devastating. The incidence of catheter-related infection is approximately 5.5%. Several guidelines have been recommended to prevent complications during thoracic epidural catheterization. Tunnelling is often recommended to reduce the incidence of infections and dislocations. A retrospective, single-centre analysis of our acute pain service database was performed between 2010 and 2018. The hygiene measures of the German Society of Anaesthesiology have been incorporated in our standard operating protocol since 2009. The procedure remained constant, but the skin disinfectant was changed from propan-2-ol to propan-2-ol with octenidine in 2014. Tunnelling of catheters was not performed. We analysed the incidence of catheter-related infections (primary endpoint) and effect of the used disinfectant (secondary endpoint). A total of 2755 patients underwent elective major abdominal surgery with thoracic epidural catheterization. Sixteen patients (0.6%) showed symptoms of mild catheter-related infection. Moderate or severe infections were not observed in any patient. The type of disinfectant did not show ...Continue Reading

References

Nov 13, 2003·JAMA : the Journal of the American Medical Association·Brian M BlockChristopher L Wu
Oct 5, 2010·European Journal of Anaesthesiology·Wiebke GogartenUNKNOWN European Scoeity of Anaesthesiology
Apr 18, 2014·Anaesthesia·J Campbell
Sep 5, 2014·Anaesthesia·UNKNOWN Association of Anaesthetists of Great Britain and IrelandR Koerner
Feb 16, 2016·Acta Anaesthesiologica Scandinavica·E B Rosero, G P Joshi
Mar 24, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Ashima SharmaGopinath Ramachandran
Jul 27, 2018·Local and Regional Anesthesia·Mohammed HakimJoseph D Tobias

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