Tìm thấy 20+ kết quả cho từ khóa "Epidural catheter"
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Epidural catheter migration:. Epidural analgesia in the intensive care unit: an observational series of 121 patients
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The patients were divided into two groups depending on the type of epidural catheter used for continuous epidural infusion: the contrast group, which used standard epidural catheters, and the stimula- tion group, which used epidural catheters with electric stimulation.
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Malfunctioning catheter connector: An unusual and rare cause of epidural catheter blockade. Crack in the epidural catheter filter port.. Management of the sheared epidural catheter: is surgical extraction really necessary? J Clin Anesth. Fracture of epidural catheter: a case report and review of literature. Epidural catheter design: history, innovations, and clinical implications.
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Case report: epidural hematoma nine days after removal of a labor epidural catheter. Surgical management of spinal epidural hematoma: relationship between surgical timing and neurological outcome
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Therefore the epidural analgesia was performed using a catheter placed at the T 7–8 thoracic level and the infusion of 4 0.2% Ropivacaine at 4 ml/h was performed. Simultaneously, a significant hypokalemia was diagnosed in a routine laboratory examination, leading to the place- ment of a central vein catheter for intravenous potassium substitution. The end of the epidural catheter was fixed over the right shoulder (Fig. 1a) next to the central vein catheter (Fig.
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After oxygen mask application with 5 L/min of oxygen, for the epidural catheter placement, patients were placed in the left lateral decubitus position.
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Under standard monitoring, thoracic epidural anesthesia was performed at Th4–6 in the lateral position. Following a 3-mL test dose of 1% mepiva- caine, the epidural catheter was fixed.. local anesthetic via the epidural catheter was not used during the operation.. After surgery, all patients were extubated in the oper- ating room, observed in the post-anesthesia care unit for 30 min to 1 h, and then transferred to the ward..
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Furthermore, the re- siting of the epidural catheter is usually performed when the catheter malfunctions or is misaligned. Hence, catheter resiting could be a surrogate marker for inadequate anal- gesia that contributed to a lower patient satisfaction.. The presence of complications after receiving neurax- ial analgesia was significantly associated factors relating to low patient satisfaction [22, 38].
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Following negative aspiration and negative response to a test dose of 3 mL of bupivacaine 0.5% (without epi- nephrine), the indwelling catheter was fixed using sterile drapings (Tegaderm. An initial dose of 15 mL of ropivacaine 0.375% was applied via the indwelling epidural catheter with the patient in the supine position. After 15 min, cold/warm sensibility testing was performed bilaterally to evaluate the appro- priate spread (multisegmental sensory blockade) of the epidural block..
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For pregnant women in CSEA group, after successful epidural puncture at L2–3 or L3–4 interspace, a 25-G lumbar puncture needle was inserted through the epi- dural needle (Xinxiang Camel Medical Devices Co., Ltd.;. After 3–4 cm of epidural catheter was set to the head side, subjects in both groups were placed in the supine position. Ten minutes later, epidural analgesia analgesia pump (PCEA) was connected after no occur- rence of adverse reactions were observed.
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Patients in the IM + PCEA group received epidural catheterization prior to spinal anesthesia. In the IM + PCEA group, continuous epidural infusion of 0.167% levobupivacaine using disposable PCEA infusers (Smiths Medical Japan, Tokyo, Japan) were com- menced at the end of surgery and ceased after 24 h. In the IM + PCEA group, the epidural catheter was removed 24 h after intrathecal administration of morphine but prior to ambu- lation.
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Background: General (GA)- and epidural-anesthesia may cause a drop in body-core-temperature (BCT drop. We hypothesized that forced-air prewarming during epidural catheter placement and induction of GA maintains normothermia and improves microperfusion..
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We also measured the depth of the epidural space and the distance between the midpoints of the T12-L1 and. Table 1 Comparison between the ideal analgesia group and the nonideal analgesia group (n = 119). The sum of the two lengths was used to determine the depth of the epidural catheter placement. This was done to ensure that the opening of the catheter tip was located at the midpoint of the T12- L1 intervertebral space..
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Patient-controlled epidural analgesia. An epidural catheter was introduced at L3–L4 and the epidural analgesia was patient-controlled. Analgesic data, including the duration of PCEA, total and ef- fective number of PCEA doses, and total PCEA dose were also collected. The body temperature and changes in the parturients, including intrapartum fever status and the duration of any fever, were re- corded.
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Decision on epidural analgesia was based on the pa- tients´ preference. Epidural analgesia was performed directly preoperatively according a specific departmental standard operating procedure: Epidural catheter was placed between the 7th and the 11th thoracic intervertebral space, followed by an application of 25 μg sufentanil and 10 ml ropivacaine 0.2%.
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After with- drawal of the spinal needle, a 20-gauge epidural catheter was inserted through the epidural needle, 3–4 cm into the epidural space. The Tuohy needle was removed, and epidural catheter fixation and an epidural test dose in- jection were performed in the same manner as in the double group..
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The total intraoperative amounts (in mg) of epidural ropivacaine and epidural or IV morphine were recorded, as well as the level of the thoracic epidural catheter placement, the duration of surgery, blood loss, and intraoperative fluid replacement.. Postoperative colonic motility was evaluated by the OCTT and CTT tests as well as by the clinical signs of the first passage of flatus, faeces and the first presence of bowel sounds.
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Underestimation of inadequate TEA using PACU- OpResc may occur when the epidural catheter was re- placed, manipulated or used for local anesthetic bolus before a patient received IV opioids, or cases in which adequate analgesia was achieved with non-opioid supple- ment analgesics.
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A 20-gauge epidural catheter was inserted towards the cephalad direction at the T10–T11 space via an 18-gauge Touhy needle in the lateral decubitus position. General anesthesia was induced with 2 mg/kg of propo- fol. The acquired hemodynamic data after administration of the epidural loading doses were com- pared and analyzed between the young and elderly sub- groups in each group..
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Patients in the group TEA received an epidural catheter, using an 18G Tuohy needle, the epi- dural catheter (20G) will be placed at T4/5, T5/6, or T6/. After introduction of the catheter (3 cm into the paravertebral space), gentle aspiration, and test dose application (3 ml of ropivacaine 0.5% with adrenalin (5 μg/ml.