Noninvasive removal of an entrapped supraclavicular catheter

Presta, M; Byram, Scott; Reis, Christopher L.; Sniderman, Michael

doi:10.1016/j.jclinane.2011.06.025

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…ANesthesiA & ANAlgesiA E ReView ARticle at risk for heating during subsequent magnetic resonance imaging. 239 Catheter retention during withdrawal can also occur caused by a perineural loop, 165 knot, 240 kink, 241,242 or adherence. 171,179,[243][244][245][246][247] Although multiple catheter designs have been involved with retained catheter reports, 240,242 it is notable that within the past few years, 1 specific stimulating catheter (StimuCath; Teleflex, Morrisville, NC) has been overwhelmingly the predominant model described: 9 publications reporting a total of 18 separate cases.…”

Section: Complicationsmentioning

confidence: 99%

“…171,179,[243][244][245][246][247] Although multiple catheter designs have been involved with retained catheter reports, 240,242 it is notable that within the past few years, 1 specific stimulating catheter (StimuCath; Teleflex, Morrisville, NC) has been overwhelmingly the predominant model described: 9 publications reporting a total of 18 separate cases. 165,171,179,241,[243][244][245][246][247] One investigator opined referring to these case reports, "While stimulating peripheral nerve catheters do have clinical utility, the expanding body of literature describing catheter entrapment is worrisome." 248 Regarding infusion-induced local anesthetic toxicity, both older 1 and more recent evidence suggest that perineural infusion-induced local anesthetic toxicity is very rare.…”

Section: Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities

Ilfeld

2017

Anesthesia &Amp; Analgesia

285

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A continuous peripheral nerve block (CPNB) consists of a percutaneously inserted catheter with its tip adjacent to a target nerve/plexus through which local anesthetic may be administered, providing a prolonged block that may be titrated to the desired effect. In the decades after its first report in 1946, a plethora of data relating to CPNB was published, much of which was examined in a 2011 Anesthesia & Analgesia article. The current update is an evidence-based review of the CPNB literature published in the interim. Novel insertion sites include the adductor canal, interpectoral, quadratus lumborum, lesser palatine, ulnar, superficial, and deep peroneal nerves. Noteworthy new indications include providing analgesia after traumatic rib/femur fracture, manipulation for adhesive capsulitis, and treating abdominal wall pain during pregnancy. The preponderance of recently published evidence suggests benefits nearly exclusively in favor of catheter insertion using ultrasound guidance compared with electrical stimulation, although little new data are available to help guide practitioners regarding the specifics of ultrasound-guided catheter insertion (eg, optimal needle-nerve orientation). After some previous suggestions that automated, repeated bolus doses could provide benefits over a basal infusion, there is a dearth of supporting data published in the past few years. An increasing number of disposable infusion pumps does now allow a similar ability to adjust basal rates, bolus volume, and lockout times compared with their electronic, programmable counterparts, and a promising area of research is communicating with and controlling pumps remotely via the Internet. Large, prospective studies now document the relatively few major complications during ambulatory CPNB, although randomized, controlled studies demonstrating an actual shortening of hospitalization duration are few. Recent evidence suggests that, compared with femoral infusion, adductor canal catheters both induce less quadriceps femoris weakness and improve mobilization/ambulation, although the relative analgesia afforded by each remains in dispute. Newly published data demonstrate that the incidence and/or severity of chronic, persistent postsurgical pain may, at times, be decreased with a short-term postoperative CPNB. Few new CPNB-related complications have been identified, although large, prospective trials provide additional data regarding the incidence of adverse events. Lastly, a number of novel, alternative analgesic modalities are under development/investigation. Four such techniques are described and contrasted with CPNB, including single-injection peripheral nerve blocks with newer adjuvants, liposome bupivacaine used in wound infiltration and peripheral nerve blocks, cryoanalgesia with cryoneurolysis, and percutaneous peripheral nerve stimulation.

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Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities

Ilfeld

2017

Anesthesia &Amp; Analgesia

285

View full text Add to dashboard Cite

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“…Entrapped continuous peripheral nerve block catheters are most often due to a knotted, kinked, or damaged catheter [ 3 – 6 ]. Rarely, a catheter can become sheared, with a fragment remaining inside the patient.…”

Section: Discussionmentioning

confidence: 99%

Effect of Arm Positioning on Entrapment of Infraclavicular Nerve Block Catheter

Kamenetsky

Reddy

Kendall

et al. 2017

Case Reports in Anesthesiology

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Continuous brachial plexus nerve block catheters are commonly inserted for postoperative analgesia after upper extremity surgery. Modifications of the insertion technique have been described to improve the safety of placing an infraclavicular brachial plexus catheter. Rarely, these catheters may become damaged or entrapped, complicating their removal. We describe a case of infraclavicular brachial plexus catheter entrapment related to differences in arm positioning during catheter placement and removal. Written authorization to obtain, use, and disclose information and images was obtained from the patient.

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“…Although this type of catheter minimizes the chance of knotting or breaking, it has encountered different complications such as separation of the polyurethane outer part, uncoiling of the tip, and entrapment in nearby structures. When we look at the literature, we can see 9 different reports including a total of 18 cases between 2005-2016 regarding stimulated peripheral nerve catheter entrapment and serious removing difficulties [10][11][12][13][14][15][16][17][18] (Table 1). In almost all of these cases, removal attempts caused painful paresthesia.…”

Section: Reviewmentioning

confidence: 99%

Untitled

2022

BJSTR

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Today, outpatient surgery rates are increasing due to high hospital costs, and home going catheters provide excellent pain control for orthopedic and traumatology patients. Peripheral nerve catheters are usually removed 2-5 days postoperatively and are assumed to be easy and painless with a short training for ambulatory patients. It is a great comfort for the patients to be sent home with a catheter to provide good pain control, but they have to remove the catheter themselves or a relative at home. A possible problem is the removal of the catheter can cause serious anxiety to patients and their relatives, hence it is a very frustrating situation for patients especially who come from hundreds of miles away. In this report, we review the stimulating perineural catheter entrapment cases in the literature after describing our similar case and predict possible entrapment causes and propose management strategies for the safe removal of these peripheral nerve block catheters. CaseA 72 you female with PMH of two right shoulder surgery, Obstructive Sleep Apnea, Hypertension, Rheumatoid Arthritis, Depression, Hypothyroidism, Bipolar Disorder, and Fibromyalgia was Scheduled for right Reverse Total Shoulder Arthroplasty. On the day of surgery, the stimulated interscalene catheter (Arrow, StimuCath® Peripheral Nerve Catheter, PA, USA) was placed under Ultrasound guidance preoperatively without bolus local anesthetic. removal, the neck pain disappeared but the numbness in my fingers

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Noninvasive removal of an entrapped supraclavicular catheter

Cited by 6 publications

References 7 publications

Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities

Continuous Peripheral Nerve Blocks: An Update of the Published Evidence and Comparison With Novel, Alternative Analgesic Modalities

Effect of Arm Positioning on Entrapment of Infraclavicular Nerve Block Catheter

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