KNOTTING OF AN EPIDURAL CATHETER - CASE-REPORT
KNOTTING OF AN EPIDURAL CATHETER - CASE-REPORT
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DOI：
10.1007/bf03013787
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发表时间：
1979-01-01
期刊：
影响因子：
--
通讯作者：
POLITI, VL
中科院分区：
文献类型：
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作者：
BROWNE, RA;POLITI, VL
拔除硬膜外导管的困难是由于导管末端附近形成一个结[作为分娩期间麻醉程序的并发症]。在腰椎区，硬膜外导管插入硬膜外间隙不应超过5厘米，因为可能会发生卷曲和结节的形成。如果对类似导管的测试表明它可以承受张力，则可以通过拉出导管来尝试拔除。出于医学-法律原因，患者和配偶应随时了解情况并参与决策。
Difficulty with removal of an epidural catheter is described due to formation of a knot near the end of the catheter [as a complication of anesthetic procedure during delivery]. In the lumbar area an epidural catheter should never be inserted more than 5 cm into the epidural space, as curling with knot formation may occur. Removal may be attempted by pulling on the catheter if testing of a similar catheter indicates that it will withstand the tension. The patient and the spouse should be kept informed and involved in the decision-making for medico-legal reasons.