MECHANISMS OF EPIDURAL CATHETER KNOTTING
https://doi.org/10.21292/2078-5658-2017-14-5-26-32
Abstract
The objective of the study: to determine factors and mechanisms of the epidural catheter knotting. Three clinical cases of the epidural catheter knotting have been studied, and 80 bench tests of catheters made of polyamide and polyether block amide have been run. It has been found out that the extension of the length in the inserted catheter and the speed of its extraction result in the higher risk of knotting. Polyether block amide catheters versus polyamide ones are safer respective the potential knotting, A certain algorithm of actions for a doctor has been offered in order to prevent knotting and breakage of the catheter.
About the Authors
V. A. Gluschenko
N. N. Petrov Oncology Research Institute, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Professor, Leading Researcher
Russian Federation
Doctor of Medical Sciences, Professor, Leading Researcher
V. P. Kobrin
Maternity Hospital no. 1, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
V. V. Repnikov
Maternity Hospital no. 1, St. Petersburg
Russian Federation
Head of Intensive Care and Anesthesiology Department
Russian Federation
Head of Intensive Care and Anesthesiology Department
V. V. Kobrina
Clinic Named after Peter the Great, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician
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Review
For citations:
Gluschenko V.A., Kobrin V.P., Repnikov V.V., Kobrina V.V. MECHANISMS OF EPIDURAL CATHETER KNOTTING. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2017;14(5):26-32. (In Russ.) https://doi.org/10.21292/2078-5658-2017-14-5-26-32
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