Complications of 761 short-term intrathecal macrocatheters in obstetric patients: a retrospective review of cases over a 12-year period

Neuraxial labor analgesia: a literature review

“…Obesity (53.7%), puncture or epidural failure (26.9%), and cardiopulmonary diseases (13.9%) were among the most common causes for the option of continuous spinal anesthesia (deliberate dural puncture). 34 …”

Intrathecal catheterisation after accidental dural puncture: real‐world data, real‐world benefits and real‐world barriers

“…inadvertent drug errors, high/total spinal, damage to the neuraxis and a conduit for infection. In a 12-year study of 761 intrathecal catheters, three incidences of high/total spinal and one of respiratory depression were recorded, but no serious neurological complications [11]. In their review, Orbach-Zinger et al note no serious neurological sequelae reported in studies associated with intrathecal catheters, despite isolated case reports [9].…”

“…Reviewing available evidence suggests that intrathecal catheters can provide at least as good labour analgesia as re-sited epidurals [9][10][11]. Heesen et al showed no difference in quality of analgesia between the two approaches.…”

“…Reviewing available evidence suggests that intrathecal catheters can provide at least as good labour analgesia as re‐sited epidurals [9–11]. Heesen et al.…”

Continuous Spinal Anesthesia for Obstetric Anesthesia and Analgesia

“…Rates of other complications associated with the IT use of epidural catheters placed are low. In 2016, Cohn et al reported on the complications associated with 761 short-term IT macrocatheters in obstetric patients over 12 years period ( 42 ). There were no serious complications, including meningitis, epidural or spinal abscess, hematoma, arachnoiditis, or cauda equina syndrome associated with IT epidural catheters.…”