Epidural catheter disconnections

Gavelin, Robin J.; Patterson, Kenneth W.

doi:10.1007/bf03009520

Cited by 4 publications

(4 citation statements)

References 1 publication

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“…11 Several methods have been suggested to attach the epidural catheter securely to its filter and minimise disconnections. [3][4][5]7,12 These include assembling the component parts of screw cap connectors in a particular order, using tape to secure the looped catheter to the screw cap or to bind the catheter and connector together, and taping a length of catheter along a patient's back to their shoulder and securing any loose catheter with an adhesive dressing at the shoulder. While there has not been a comparative study of these methods, all authors report a substantial reduction in the incidence of disconnections.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Disconnection of the epidural catheter from its filter is an established problem with epidural analgesia. [3][4][5] It may result in inadequate analgesia, patient dissatisfaction with epidural pain relief and provide a conduit for micro-organisms to enter the epidural space. A three-month audit in the surgical department at our hospital revealed that epidural catheter disconnection occurred in two out of 40 (5%) epidurals.…”

Section: Introductionmentioning

confidence: 99%

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A comparison of two epidural catheter connectors

Doyle

Santhirapala

Stimpson

et al. 2011

International Journal of Obstetric Anesthesia

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of two epidural catheter connectors

Doyle

Santhirapala

Stimpson

et al. 2011

International Journal of Obstetric Anesthesia

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“…A number of clinician‐engineered solutions have been proposed to reduce the risk either of catheter disconnection or of subsequent bacterial contamination of the disconnected catheter [6, 7, 17, 21–24]. There has been no direct comparison of these methods, although all report encouraging results.…”

Section: Discussionmentioning

confidence: 99%

Epidural catheter connectors: a laboratory‐based comparison of the Portex Tuohy‐Borst and EpiFuse™ designs^*

Richardson¹,

Turner

Wilkes

2012

Anaesthesia

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SummaryDisconnection of an epidural catheter from its connector may result in patient harm and commonly requires resiting of the epidural. Clamp-connector designs such as the novel Portex EpiFuse TM potentially offer an improved safety profile over screw-cap designs such as the Tuohy-Borst, but comparative studies are limited. We therefore compared the tensile strength of EpiFuse and Tuohy-Borst connectors in a laboratory setting. We further sought to establish whether operator modification of the EpiFuse increased its vulnerability to disconnection. The median (IQR

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“…This situation is well recognized where there is obvious pathology, but is exceedingly rare if the anatomy is normal. 2 Grade I1, only posterior commissure visible; grade III, only tip of epiglottis visible; grade IV, no glottis [sic] structure visible) Additional confusion stems from downplaying the difference between the glottis (vocal cords and intervening opening) and the laryngeal inlet (oblique aditus including the upper border of the epiglottis, aryepiglottis folds containing the corniculate and cuneiform cartilages, and mucosa covering the atytenoideus muscle)?…”

Section: Augustine Guidementioning

confidence: 99%