Prevention of epidural catheter migration: a comparative evaluation of two tunneling techniques.

Korean journal of anesthesiology
Sujeet GautamSanjay Kumar

Abstract

Epidural analgesia failure episodes can be reduced by catheter fixation techniques with a lower incidence of catheter migration. In this clinical study, we compared the roles of two epidural catheter tunneling techniques for the prevention of epidural catheter migration. Patients undergoing major abdominal surgery were randomized into three groups of 50 patients each based on the method used to secure the epidural catheter. In the control group (CG), the epidural catheter was secured without tunneling. Tunneling groups 1 and 2 (TG1 and TG2) were defined as tunneling with and without a catheter loop, respectively. The primary outcome measure was the migration of the epidural catheter, while the secondary outcome measures were the adequacy of analgesia and signs of inflammation. All patients were followed up by the acute pain service team twice daily in the postoperative period until the epidural catheter was removed. The results were analyzed by the one-way analysis of variance (ANOVA), chi-square test, and Fisher's exact test. P values <0.050 were considered significant. The three groups were similar with respect to patient characteristics. Catheter migration was significantly reduced in TG2 (two patients) compared to those in ...Continue Reading

References

Feb 1, 1996·Anaesthesia·R J BougherD T Ramage
Sep 28, 2001·British Journal of Anaesthesia·S M BurnsR G Wilkes
Sep 28, 2001·Anesthesia and Analgesia·W S BeattieP Choi
Nov 7, 2003·Anaesthesia and Intensive Care·V L ChadwickB G Fleming
Mar 24, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Ashima SharmaGopinath Ramachandran

❮ Previous
Next ❯

Methods Mentioned

BETA
blood collection

Software Mentioned

SPSS Statistics

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

Related Papers

Journal of Anaesthesiology, Clinical Pharmacology
Mukesh Tripathi
Anaesthesiologie und Reanimation
M Tschirner, L Zeuner
Journal of Anaesthesiology, Clinical Pharmacology
Ashima SharmaGopinath Ramachandran
Regional Anesthesia and Pain Medicine
Gregory L Rose
© 2021 Meta ULC. All rights reserved