Features of epidural catheter fixation in different clinical cases
https://doi.org/10.52485/19986173_2023_4_132
Abstract
The quality of the prolonged epidural analgesia depends on a lot of factors, one of which is what method and what conditions the attachment of epidural catheter (EC) on the skin is performed. Despite the presence of a large selection seemingly reliable fixing devices, the anatomical features of surface shape in the site of the epidural approach can prevent solid and long the EC fixation on the skin.
Aim: to show on clinical cases the possibility of using a differentiated approach to the choice of the EC fixation method, taking into account the anatomical features of the surface shape of the epidural access site during prolonged postoperative epidural analgesia.
Results. This article describes three clinical observations of carrying out prolonged epidural analgesia during surgical treatment of fractures of the lower limb, where the epidural catheter (EC) fixation was carried out in the first and third observations depending on anatomical features of the surface shape of the epidural approach site.
Conclusions. In the first and third clinical observation when choosing the method of EC fixation, the anatomical features of the surface shape of the epidural site approach were taken into account, which allowed to perform the prolonged and high-quality epidural analgesia. In the second observation EC fixation was performed excluding the anatomical features, which led to a disorder of the adhesion of the device to the skin, clinically significant EC dislocation, and premature termination of epidural analgesia.
About the Authors
O. N. Yamshikov
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
33 Internatsionalnaya Str.,Tambov, 392000
24 Pionerskaya Str., Kotovsk Tambov Region, 393190
A. P. Marchenko
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
33 Internatsionalnaya Str.,Tambov, 392000
24 Pionerskaya Str., Kotovsk Tambov Region, 393190
S. A. Emelyanov
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
33 Internatsionalnaya Str.,Tambov, 392000
24 Pionerskaya Str., Kotovsk Tambov Region, 393190
S. A. Ignatowa
Derzhavin Tambov State University, Medical Institute; Kotovsk City Clinical Hospital
Russian Federation
Russian Federation
33 Internatsionalnaya Str.,Tambov, 392000
24 Pionerskaya Str., Kotovsk Tambov Region, 393190
N. A. Marchenko
Derzhavin Tambov State University, Medical Institute
Russian Federation
Russian Federation
33 Internatsionalnaya Str.,Tambov, 392000
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Review
For citations:
Yamshikov O.N., Marchenko A.P., Emelyanov S.A., Ignatowa S.A., Marchenko N.A. Features of epidural catheter fixation in different clinical cases. Transbaikalian Medical Bulletin. 2023;(4):132-140. (In Russ.) https://doi.org/10.52485/19986173_2023_4_132
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