Pressure waveform-guided epidural catheter placement in comparison to the loss-of-resistance conventional method

被引：15

作者：

Gong, Yuhua ^{[1
]}

Shi, Haixia ^{[1
]}

Wu, Jie ^{[1
]}

Labu, Danbaila ^{[1
]}

Sun, Junzhi ^{[1
]}

Zhong, Haiyan ^{[1
]}

Li, Libiao ^{[1
]}

Xin, Xuedong ^{[1
]}

Wang, Ling ^{[1
]}

Wu, Lifang ^{[1
]}

Ma, Daqing ^{[2
]}

机构：

[1] Inner Mongolia Med Coll, Affiliated Hosp 1, Dept Anesthesiol, Hohhot, Inner Mongolia, Peoples R China

[2] Univ London Imperial Coll Sci Technol & Med, Chelsea & Westminster Hosp, Dept Surg & Canc, London, England

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2014年 / 26卷 / 05期

关键词：

Catheterization; Epidural anesthesia; Epidural catheter placement: complications; Loss-of-resistance technique; Pressure waveform-guided epidural catheter placement; GENERAL-ANESTHESIA; NEEDLE PLACEMENT; LOCATION; SURGERY; CONFIRM; DOGS;

D O I：

10.1016/j.jclinane.2014.01.015

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Study Objectives: To investigate pressure waveform-guided epidural catheter placement (PWEP) and its effect. in clinical practice. Design: Single-center, prospective cohort-study. Setting: University teaching hospital. Patients: 3,326 patients undergoing thoracic, abdominal, and lower limb surgery. Interventions: 1,614 underwent PWEP and 1,664 had the loss-of-resistance (LOR) technique. Measurements: Anesthesia success and catheter replacement-related complications were recorded. Main Results: The specificity and sensitivity of PWEP was higher than LOR, and it also provided higher satisfaction with anesthesia when compared with the LOR technique (62.8% vs 45.6 %; P < 0.05). PWEP also performed better than LOR in risk of anesthesia failure (0.4% vs 1.1%; P < 0.05) and catheter replacement-related complications (0% vs 0.6%; P < 0.05). Conclusion: PWEP is a reliable and useful technique for epidural catheter placement. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：395 / 401

页数：7

共 5 条

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