Risk of catheter-associated infection in young hematology/oncology patients receiving long-term peripheral nerve blocks.

Paediatric Anaesthesia
Doralina L AnghelescuJonathan A McCullers

Abstract

Continuous peripheral nerve blocks (CPNBs) are increasingly used to control postoperative and chronic pain. At our pediatric oncology institution, the duration of CPNBs is often prolonged. The risk of catheter-associated infection with prolonged CPNBs has not been previously investigated. We analyzed the incidence of CPNB-related infection and its relation to catheter duration, catheter site, intensive care stay, and antibiotic coverage. All CPNBs placed at our institution between August 1, 2005 and October 31, 2010 were studied. Primary diagnosis and the site, indication, duration, and infectious adverse effects of CPNBs were obtained from our Pain Service QI database. Patients' age and sex, antibiotic administration, and number of days in intensive care were collected from patients' medical records. The use of 179 catheters in 116 patients was evaluated. Mean age at CPNB placement was 15.1 years (median, 14.7; range, 0.4-26.9). The most frequent indication for CPNB was surgery (89.4%), most commonly orthopedic (78.8%). Mean CPNB duration was 7.2 days (median, 5.0; range, 1-81 days). Two cases (1.12%) of CPNBs developed signs of infection, both associated with femoral catheters. The infections were mild and necessitated cathet...Continue Reading

References

Apr 16, 1998·Anesthesia and Analgesia·S Kost-ByerlyM Yaster
Mar 19, 2005·BMC Anesthesiology·Astrid M MorinLeopold Hj Eberhart
Oct 26, 2007·Anesthesia and Analgesia·Arjunan GaneshGiovanni Cucchiaro
Sep 23, 2008·Anesthesia and Analgesia·Xavier CapdevilaJean-Jacques Eledjam
Dec 24, 2008·Anesthesiology·Xavier CapdevilaAlain Borgeat
Mar 21, 2009·Anesthesia and Analgesia·Vincent CompèreB Dureuil
Aug 22, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Christophe DadureXavier Capdevila
Dec 22, 2010·British Journal of Anaesthesia·J E ChellyA Fanelli

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Citations

Apr 2, 2019·Orthopaedic Nursing·Caitlin Coit, Elizabeth Shannon
Feb 19, 2015·European Journal of Anaesthesiology·Martin Jöhr

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