Fluid through the epidural needle does not reduce complications of epidural catheter insertion
| Autor: | Shyam Radhakrisnan, Stephen H. Rolbin, Deena Kapala, Stephen H. Halpern, Robin Unger, Bernard M. Braude |
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| Rok vydání: | 1990 |
| Předmět: |
Adult
Epidural Space medicine.medical_specialty Nerve root medicine.medical_treatment Tuohy needle Catheterization Catheters Indwelling Pregnancy Medicine Anesthesia Obstetrical Humans Paresthesia Saline Catheter insertion Labor Obstetric business.industry General Medicine Epidural space Surgery Analgesia Epidural Catheter Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Female business Complication Blood vessel |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 37(3) |
| ISSN: | 0832-610X |
| Popis: | Epidural catheter insertion may be associated with blood vessel trauma or nerve root irritation. The purpose of this study was to assess whether the injection of small amounts of fluid through the Tuohy needle prior to catheter insertion reduced the incidence of these and other minor complications. Two hundred patients in labour, requesting epidural analgesia, were randomly assigned to one of three groups: Group I —the catheter was inserted without previous injection of fluid; Group II —3 ml, 1.5 per cent lidocaine hydrochloride was injected through the needle prior to catheter insertion; Group III —3 ml, saline was injected prior to catheter insertion. There were no differences among the groups in the incidence of blood vessel trauma or paraesthesiae. We conclude that there is no advantage in injecting of fluid routinely into the epidural space prior to catheter insertion. |
| Databáze: | OpenAIRE |
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