Menu: Home :: go to Journal :: switch to Russian :: switch to English
You are here: all Journals and Issues→ Journal→ Issue→ Article

Application of combined two-level spinal-epidural anesthesia with fixation of epidural catheterin subcutaneous canal using modified cerebrospinal needle

Annotation

The aim of the study is to assess the advantages of a new technique for conducting a combined two-level spinal-epidural anesthesia with fixation of an epidural catheter in the subcutaneous canal using a modified spinal needle among elderly and senile patients during operations for fracture of the lower extremity bones. Material. We analyzed 44 cases of combined two-level spinal-epidural anesthesia with epidural catheter fixation in the subcutaneous canal using a modified cerebrospinal needle in lower limb bone fracture surgeries among elderly and senile patients over 2019. The developed technique of combined two-level spinal-epidural anesthesia with fixation of the epidural catheter in the subcutaneous canal using a modified cerebrospinal needle made it possible to exclude cases of catheter migration by more than 1 cm and avoid development of local inflammatory reaction. Conclusion. Combined two-level spinal-epidural anesthesia with the fixation of an epidural catheter in the subcutaneous canal using a modified cerebrospinal needle is a reliable, effective and safe anesthesia technique for operations for hip fracture among elderly and senile patients and makes it possible to perform long-term postoperative analgesia without the risk of infectious complications and complications associated with dislocation of the epidural catheter.

Keywords

combined two-level spinal-epidural anesthesia; epidural needle; fracture of femur

Full-text in one file

Download

DOI

10.20310/2658-7688-2020-2-4(8)-7-13

UDC

615.211

Pages

7-13

References

1. Curelaru I. Long duration subarachnoidal anesthesia with continuous epidural blocks. Prak. Anaesth. Wiederbelebung Intensivther. 1979;14:71-8 2. Koryachkin V.А. Nejroaksial'nye blokady [Neuroaxial blockages]. St. Petersburg: ELBI-SPb; 2013. pp. 283-284. (In Russian). 3. Epshtejn S.L., Karpov I.А., Ovechkin А.M. Аnaliz effektivnosti razlichnykh sposobov fiksatsii epidural'nogo katetera [Efficacy analysis of various methods of epidural catheter fixation]. (In Russian). Available at: http://www.critical.ru/RegionarSchool/publications/0076/ (accessed: 20.08.2020). 4. Clark M., O'Hare K., Gorringe J. The effect of the Lockit epidural catheter clamp on epidural migration: a controlled trial. Anaesthesia. 2001;56:865-70. 5. Crosby E. Epidural catheter migration during labour: a hypothesis for inadequate analgesia. Can. J. Anaesth. 1990;37:789-93. 6. Nikolaev А.V. Ustrojstvo dlya formirovaniya podkozhnogo tunnelya i provedeniya epidural'nogo katetera [A device for forming a subcutaneous tunnel and conducting an epidural catheter]. Patent RU 26426 U1. MKP А61M 25/06 (2000.01). – RU 26426 U1 Patent. INC А61М 25/06 (2000.01). (In Russian). 7. Coupe M, al-Shaikh B. Evaluation of a new epidural fixation device. Anaesthesia. 1999;54:98±9. 8. Carrie L.E.S., Russell R. Fixation of epidural catheters. Anaesthesia. 2000;55:1231±3. 9. Thipathi М. et all. Epidural catheter fixation: subcutaneous tunneling with a loop to prevent displacement. Anaesthesia. 2000;55(11):1113.

Received

2020-09-06

Section of issue

Clinical medicine

Для корректной работы сайта используйте один из современных браузеров. Например, Firefox 55, Chrome 60 или более новые.