打结硬膜外导管:拔管前确定导管极限抗拉强度的作用。一例病例报告和文献综述

IF 0.1 Q4 ANESTHESIOLOGY
A. Orfi, P. Dewandre, J. Brichant
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引用次数: 0

摘要

打结是硬膜外导管使用中常见但罕见的并发症。我们报告了一个打结导管在确定其极限抗拉强度后,通过简单牵引成功取出的案例。我们查阅了自1979年以来发表的案例报告。我们评估了这种并发症的发生率、放置技术对结发生的影响、不同成像模式的价值以及用于导管移除的各种技术之一。打结的导管通常可以在稳定而温和的牵引下完好无损地取出。在拉动被截留的导管之前,为了避免破裂,评估其自由端或另一根相同导管的极限抗拉强度可能是有用的。在插入硬膜外腔时限制导管的长度似乎是避免打结的最佳方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knotted epidural catheter: the role of determining a catheter’s ultimate tensile strength before pulling on it. A case report and literature review
Knotting is a well-known but rare complication of the use of epidural catheters. We report the case of a knotted catheter successfully removed by simple traction, after determining its ultimate tensile strength. We reviewed the case reports published since 1979. We assessed the prevalence of this complication, the impact of placement technique on a knot’s occurrence, the value of the different imaging modalities, and the one of various techniques used for catheter removal. A knotted catheter can often be removed intact with steady and gentle traction. Before pulling on an entrapped catheter and to avoid breakage, it may be useful to assess its ultimate tensile strength on its free extremity or another identical catheter. Limiting the length of a catheter threaded in the epidural space during its insertion seems to be the best way to avoid knots.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
2
期刊介绍: L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.
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