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| | [No title] |
 | | We conclude that the risk of a modern epidural catheter being sheared or damaged by attempted removal through a touhy needle once advanced to a depth of 3-5cm is low in human cadavers and this warrants further investigation in human subjects. | | | Occasionally, it is tempting to withdraw and readjust an epidural catheter to a more optimal position before removal of the needle in order to avoid subjecting the patient to the extra time and discomfort of a new needle puncture | | | Resistance upon attempted catheter removal through the touhy needle was experienced in one case (3.3%), and no resistance upon attempted removal in 29 cases (96.7%). |
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http://www.asra.com/Abstracts/Archives/Spring_2004/A63.final.html
(357 words)
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| | In My Opinion: Low Molecular Weight Heparin and Epidurals |
| | Additionally the report cautioned that the risk of spinal/epidural hematomas may be increased by the use of indwelling epidural catheters for administration of analgesia; by the concomitant use of drugs affecting hemostasis such as non-steroidal anti-inflammatory drugs (NSAIDs), platelet inhibitors, or other anticoagulants; or by traumatic or repeated epidural or spinal puncture. | | | However, with respect to what is known and unknown regarding the issues surrounding postoperative thromboprophylactic therapy and in light of the seriousness of the complication of spinal epidural hematoma and permanent neurologic injury in these patients, the guidelines adopted as outlined above were felt to be justified in the interest of patient safety. | | | Reports of epidural or spinal hematomas with the concurrent use of low molecular weight heparin and spinal/epidural anesthesia or spinal puncture. |
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http://www.apsf.org/resource_center/newsletter/1998/spring/10lmw.html
(1328 words)
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| | Nursing: Using tunneled epidural catheters to treat cancer pain |
| | ANSWER: Epidural catheters can be used to provide pain relief when other methods of pain control are insufficient or poorly tolerated, or when a multimodal approach is the best way to ensure pain control. | | | If the catheter becomes dislodged, for example, the insertion site should be covered with a sterile dressing and the patient should call the primary care agency to assess him and provide an alternate method of pain control. | | | Oncology patients may need epidural catheters for extended periods in both the inpatient and home health care settings. |
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http://www.findarticles.com/p/articles/mi_qa3689/is_200309/ai_n9259626
(688 words)
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| | Epidural catheter design |
| | The choice of epidural catheter for non-obstetric work does not appear to be critical, but the lateral-eye catheter produces improved results in obstetric patients (1, 2, 4). | | | Some catheters are supplied with stylets, others are reinforced (Figure 9.5) and most are constructed of polyamide nylon. | | | This latter process usually increased the stiffness of the catheter. |
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http://www.manbit.com/oa/c9.htm
(639 words)
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| | Multiport Epidural Catheter is better than the Uniport Catheter |
| | Multiport epidural catheters were associated with inadequate analgesia less often and required manipulation less often than uniport epidural catheters. | | | STUDY OBJECTIVE: To investigate whether a change from a single-orifice to multi-orifice catheter could reduce the incidence of inadequate epidural blocks requiring replacement of the epidural catheter in obstetric patients. | | | The incidences of intravenous cannulation, subsequent catheter dislodgement, and catheter replacement were similar for each catheter type. |
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http://www.csen.com/anesthesia/multiport-catheter.htm
(384 words)
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| | Combined Spinal-Epidural Technique |
| | Tuohy needle is positioned in epidural space and the spinal needle is advanced through it. | | | Either the spinal needle follows the contour of the epidural needle and exits at a slight angle or the spinal needle exits the epidural needle through a hole in the tip of the epidural needle (back hole technique) | | | a)TA needle pair- an 18g epidural needle and a 22g spinal needle are welded together, both serving as introducers for the respective needles (Eldor needle). |
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http://www.anest.ufl.edu/obanest/cse.html
(410 words)
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| | Tensilestrength of epidural catheters |
| | The Tensile Strength of Epidural Catheters and Spinal Micro-Catheters: Implications for Clinical Anaesthesia. | | | However, if a small-diameter continuous spinal catheter becomes separated within the intrathecal space, it is not unreasonable to perform an exploration of the intrathecal space and to retrieve the broken segment of the spinal catheter (11). | | | However, if a spinal microcatheter separates within the intrathecal space, surgical exploration with retrieval of the tip of the catheter is required to avoid future neurologic problems (Chapter 104). |
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http://www.manbit.com/oa/c42.htm
(898 words)
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| | Epidural Anaesthesia (page 1) |
| | Epidural analgesia allows earlier mobilization, reduces the risk of deep venous thrombosis, and allows better cooperation with chest physiotherapy, preventing chest infections. | | | Insertion of the epidural needle through an area of skin infection may introduce pathogenic bacteria into the epidural space, leading to serious complications such as meningitis or epidural abscess. | | | Epidural anaesthesia is a central neuraxial block technique with many applications. |
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http://www.nda.ox.ac.uk/wfsa/html/u13/u1311_01.htm
(1098 words)
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| | [No title] |
| | Epidural anesthesia is an effective technique for performing arthroscopic ACL repair. | | | Reduced deep venous thrombosis: Epidural and spinal anesthesia both reduce deep venous thrombosis (DVT) risk by improving blood flow through the legs secondary to sympathectomy-induced vasodilation and also may reduce perioperative hypercoagulability that occurs because of the surgical stress response. | | | Interscalene, axillary, and infraclavicular catheters can be placed for prolonged pain relief or arm surgery. |
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http://www.medceu.com/course-no-test.cfm?CID=1303
(3251 words)
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| | Post Caesarean Analgesia |
| | Where NSAID’s are contraindicated and an epidural has been used for the surgery, the catheter can be left in situ and PCEA pethidine commenced for postoperative analgesia. | | | The surgery can be performed under epidural block as per normal practice. | | | As a rule, "single shot" techniques such as single dose epidural or spinal morphine provide good analgesia where supplemental NSAID’s can be used. |
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http://www.westmeadanaesthesia.org/obstetrics/PostopCaesareanAnalgesia.htm
(604 words)
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| | ELDOR PRODUCTS BENEFITS |
| | Moreover, the 27 Whitacre needle inserted through the acessory hollow inside the needle of Eldor, is more solid with respect to the needle-in-needle technique, because the little movements during the injection are avoided, which at times are the cause of displacement of the needle in the subaracnoid space causing a failure of the block. | | | All catheters were placed in our customary practice without attempt to control for confounding variables. | | | The ELDOR Combined Spinal Epidural Needle Allows A Prior Insertion of the Epidural Catheter: |
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http://www.csen.com/benefits.htm
(1884 words)
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| | Untitled Document |
| | If the patient is stable and pain management has not been changed, RR and sedation may be monitored q2h while catheter is in use. | | | The infusion rate will vary with catheter location, site of surgery and patient age. | | | Progressive or persistent motor blockade that isn’t readily attributable to local anesthetic effects should raise the possibility of spinal cord compression from an epidural abscess or hematoma. |
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http://www.med.unc.edu/nursing/manuals/contents/pain/00_pain.pediatric.htm
(3762 words)
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| | Provisions -- CRNA, American Association of Nurse Anesthetists |
| | Epidural catheter analgesia for the management of postoperative pain. | | | Have comprehensive knowledge of catheter or infusion device techniques to include anatomy, physiology, pharmacology, benefits, risks, complications and the indications and contraindications related to the selection of agents and techniques. | | | Continuous epidural infusions of bupivacaine and morphine versus systemic narcotic analgesics for postoperative pain relief Anesthesiology 69:A384. |
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http://www.aanadc.com/crna/prof/provisions.asp
(922 words)
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| | EHS: Regional Anesthesia Atlas Abstract of the Week |
| | —Because of the increased use of indwelling epidural catheters for relief of chronic pain or extended postoperative analgesia, there is a need for improved diagnostic tools to assist in catheter placement. | | | The technique also is being used to provide diagnostic information for patients with chronic low back pain who are not receiving continuous epidural analgesia. | | | Epidurography would appear to provide information that is useful in guiding ongoing continuous epidural drug therapy. |
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http://www3.us.elsevierhealth.com/cgi-bin/Mosby/CDOnline/HahnAbs?357
(416 words)
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| | Epstein L.J. and Frost E. |
| | Advances in needle design have been aimed at allowing safer manipulation of the catheter with the needle tip still in the epidural space. | | | A larger, controlled study is necessary to evaluate the advantages of this technique over traditional methods of epidural catheter placement. | | | This system employs a plastic catheter over a needle equal to a 17 ga needle. |
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http://www.custommedical.com/products/sca/edghill.html
(364 words)
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| | Connective Tissue Oncology Society - Poster |
| | The purpose of this study was to document the safety, efficacy, and reliability of this technique used at a single institution. | | | OBJECTIVE: Continuous postoperative administration of local anesthetics through epineural catheters (surgically implanted within a peripheral nerve sheath, or epineural space) is a novel technique for obtaining regional pain control developed by the senior author over a decade ago. | | | (2) This technique is simpler, safer and more reliable than epidural catheters without any risk for epidural hematoma, abcess, or spinal leak, particularly in pts who have recently received chemotherapy. |
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http://www.ctos.org/meeting/2001/posters/poster11.html
(451 words)
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| | BrainTalk Communities - Continuous Epidural Catheters for Arms? |
| | Whatever they put through the catheter mixes within the spinal cord which does not have separate lft and rt tubes. | | | Not only did I have two epidural catheter trials for my rt arm, but I finally had an intrathecal pump surgically inserted. | | | My pump was placed under my skin near my waist on the rt side and then the catheter was run around to my back and into my spine below my neck (all under my skin). |
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http://brain.hastypastry.net/forums/showthread.php?t=10298
(1001 words)
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| | Epidural Catheters : Du Pen epidural catheter - long-term access for the delivery of preservative-free morphine sulfate ... |
| | That is why the Du Pen long-term epidural catheter was developed: to provide access for pain relief not obtainable through less conventional means of pain management. | | | Epidural Catheters : Du Pen epidural catheter - long-term access for the delivery of preservative-free morphine sulfate to relieve intractable pain in cancer patients - VitaCuff Antimicrobial Cuff | | | The Du Pen epidural catheter is intended for long-term access to the epidural space for the delivery of preservative-free morphine sulfate to relieve intractable pain in cancer patients. |
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http://www.bardaccess.com/du_pen.htm
(147 words)
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| | Vernon J. Petri and Associates: Indianapolis, Indiana Injury and Accident Lawyer :: Broken Catheters |
| | Depending on the size of the fragment and the location in the body, this procedure could be relatively simple or require major surgery. | | | Reuse of Disposable Medical Devices (Winter.1999/2000, Vol.25, No.3) There were several articles in the L.A. Times raising concerns about the lack of standards and the potential danger of this practice. | | | Venous catheters are employed in cases of patients requiring long-term intravenous treatment. |
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http://www.petrilaw.com/Catheter/catheters.htm
(708 words)
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| | University of Iowa Anesthesia Publications |
| | INTERVENTIONS: Epidural catheters were reinjected with 1.5% to 2% lidocaine with epinephrine 5 micrograms/ml or 2% to 3% 2-chloroprocaine immediately before surgery. | | | CONCLUSIONS: Although other factors may influence the timing of postpartum tubal ligation after delivery, the success of epidural anesthesia for tubal ligation using in situ epidural catheters is greater if surgery is performed shortly after delivery. | | | STUDY OBJECTIVES: To evaluate the success of epidural anesthesia for postpartum tubal ligation using epidural catheters placed during labor and to determine whether patient characteristics, timing of surgery, or technical factors (e.g., length of epidural catheter inserted into the epidural space) influenced the success of subsequent epidural anesthesia. |
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http://www.anesth.uiowa.edu/readabstract.asp?PMID=8373605
(196 words)
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| | B. Braun - Perifix® Epidural Trays, Needles, and Catheters |
| | Braun - Perifix® Epidural Trays, Needles, and Catheters | | | It's a leadership position earned by consistently supplying the anesthesia provider with the highest quality epidural needles, catheters, trays and accessories. | | | With more than 28,000 employees worldwide, B. Braun is a full line supplier of innovative healthcare products and programs designed to improve both patient and clinician safety. |
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http://www.bbraunusa.com/perifix
(148 words)
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| | [No title] |
| | The need to document normalization of labs will vary depending on the patients other concomitant medical issues. | | | Wait at least 1 hour before reinitiation of heparin therapy. | | | If the decision is made to pull an epidural catheter with an INR greater than 1.3, then a note documenting benefit outweighing the risk or medical necessity needs to be added to the chart by the anesthesia attending. |
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http://www.aims.unc.edu/resources/knowledgebase/entry.aspx?id=111
(161 words)
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| | TJU/Education/Anesthesiology/Digital Library/Epidural Anesthesia |
| | Broken Catheters - Epidural catheters can be broken off in the epidural space if the catheter is withdrawn when the needle is still in the epidural space. | | | Retained catheters may or may not cause any problem, depending on where it lodges. | | | Intravascular Injection - The epidural space is highly vascular and the epidural needle or catheter occasionally enters the lumen of an epidural vein. |
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http://jeffline.tju.edu/Education/courses/anesth/docs/library/spinal14.html
(293 words)
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| | THE USE OF EPIDURAL CATHETERS IN THE TREATMENT OF CHRONIC CANCER PAIN. |
| | Discusses use of epidural catheters in treatment of cancer pain in the chronically ill, side effects of catheters, and alternative approaches. | | | Find Academic, Research, College, and University Term Papers | | | PAGE LENGTHS, FOOTNOTES AND BIBLIOGRAPHIC REFERENCES: The title of the paper, usually typed in capital letters, is followed by a brief description of the paper and a specification of text page length (NOT including the bibliography or endnote pages), number of footnotes or citations, and number of bibliographic references. |
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http://www.academictermpapers.com/abstracts/10000/10176.html
(169 words)
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