Bacterial Colonization After Tunneling in 402 Perineural Catheters: A Prospective Study

Compère, Vincent; Legrand, J.F.; Guitard, Pierre-Gildas; Azougagh, Khalid; Baert, O.; Ouennich, A.; Fourdrinier, V.; Frébourg, N.; Bertrand, Denis

doi:10.1213/ane.0b013e31819673aa

Cited by 39 publications

(38 citation statements)

References 17 publications

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“…4 Tunneling also does not show any association between duration of catheter use and risk of infection, as opposed to the increased correlation found when tunneling is not performed. 4,11 Tunneling of the catheter may also decrease the risk of dislodgement in outpatient cases, due to its fixed placement subcutaneously. 4 Therefore, in immunocompromised cancer patients, one must use all techniques to decrease infection risk: strict aseptic catheter placement, prophylactic antibiotics, and subcutaneous tunneling.…”

Section: Discussionmentioning

confidence: 99%

Ambulatory Continuous Interscalene Blocks for Cancer Pain

Gemayel¹,

Chidiac²,

Chidiac³

2015

Journal of Pain & Palliative Care Pharmacotherapy

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Continuous peripheral nerve blocks are used in the management of pain following surgical procedures. They can also be used in patients with cancer-related pain, to improve sleep quality, reduce opioid requirements and their side effects. We describe two cancer patients in whom interscalene brachial plexus catheters were used on an outpatient basis, allowing them to travel, decrease their opioid use, and improve their ability to perform routine activities.

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Section: Discussionmentioning

confidence: 99%

Ambulatory Continuous Interscalene Blocks for Cancer Pain

Gemayel¹,

Chidiac²,

Chidiac³

2015

Journal of Pain & Palliative Care Pharmacotherapy

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“…This method, used in all three of our cases, aims to increase the distance between the catheter insertion site and the nerve 18 . In a study of tunnelled nerve blocks, the bacterial colonisation rate was only 6.2% 18 which is substantially better than the range of 17 to 57% reported in studies in which tunnelling was not used 16,19,20 .…”

Section: Discussionmentioning

confidence: 99%

Long-Term Use of Nerve Block Catheters in Paediatric Patients with Cancer Related Pathologic Fractures

Burgoyne

Pereiras

Bertani

et al. 2012

Anaesth Intensive Care

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SUMMARY We report three cases of children with osteosarcoma and pathologic fractures treated with long-term continuous nerve blocks for preoperative pain control. One patient with a left distal femoral diaphysis fracture had a femoral continuous nerve block catheter for 41 days without complications. Another with a fractured left proximal femoral shaft had three femoral continuous nerve block catheters for 33, 26 and 22 days respectively. The third patient, whose right proximal humerus was fractured, had a brachial plexus continuous nerve block catheter for 36 days without complication. In our experience, prolonged use of continuous nerve block is safe and effective in children with pathologic fractures for preoperative pain control.

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“…This is also suggested in guidance on epidural management from the Royal College of Anaesthetists and The Association of Anaesthetists of Great Britain and Ireland [7]. Although there is some evidence suggesting that tunnelling of epidural catheters may reduce bacterial colonisation [8] there is little to say that it reduces epidural infection rates. This is likely to be due to the fact that despite bacterial colonisation of catheters infection rates remain very low.…”

Section: Discussionmentioning

confidence: 99%

Current Epidural Practice – Results of a Survey of Military Anaesthetists

Woods

Aldington

2010

J R Army Med Corps

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ObjectivesAs epidurals are now used for pain relief on deployment a survey was conducted to look at the current epidural practice of UK military anaesthetists. The aim was to identify any potential issues with regard to equipment and training to allow future development of pre-deployment training. MethodsAn internet based survey was carried out. All military anaesthetists were sent an e-mail containing a link to the survey and the results of those who responded were analysed. ResultsA total of 49 surveys were completed. 78% of respondents carried out epidurals more than once a month, in a wide range of specialities. There was considerable variation in methods of securing epidurals and in drug choice amongst respondents. ConclusionsThe results of this survey show that whilst epidurals are commonly carried out amongst military anaesthetists during their UK practice, there is significant variation within the practice. Areas have been identified for development of educational courses, for example methods of securing epidurals, and these have already been acted upon.

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Bacterial Colonization After Tunneling in 402 Perineural Catheters: A Prospective Study

Abstract: The incidence of perineural catheter colonization is low with subcutaneous tunneling. Controlled randomized studies are warranted to determine whether this procedure decreases the risk for infection.

Cited by 39 publications

References 17 publications

Ambulatory Continuous Interscalene Blocks for Cancer Pain

Ambulatory Continuous Interscalene Blocks for Cancer Pain

Long-Term Use of Nerve Block Catheters in Paediatric Patients with Cancer Related Pathologic Fractures

Current Epidural Practice – Results of a Survey of Military Anaesthetists

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