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Erschienen in: Journal of Anesthesia 3/2018

22.03.2018 | Clinical Report

Comparison of catheter-over-needle and catheter-through-needle on leakage from the catheter insertion site during continuous femoral nerve block

verfasst von: Rika Nogawa, Tomoyuki Maruyama, Yoshiki Kimoto, Akinori Yamazaki, Tomoyuki Kawamata

Erschienen in: Journal of Anesthesia | Ausgabe 3/2018

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Abstract

The aim of this study was to compare the incidences of leakage from the catheter insertion site during continuous femoral nerve block when using the catheter-through-needle, Contiplex Touhy™ (CT) and the newly developed catheter-over-needle, Contiplex C™ (CC). Forty adult patients who were scheduled to undergo continuous femoral nerve block for pain control following knee surgery were enrolled and were randomly assigned to a CT group or a CC group. After finishing surgery, a catheter for continuous femoral nerve block was placed using ultrasound. A catheter was advanced along the femoral nerve 5–6 cm beyond the needle tip. Then 0.25% levobupivacaine was continuously administered at a rate of 5 ml/h until 9:00 am on postoperative day 1. The incidence of leakage of the local anesthetic from the insertion site in the CT group was significantly higher than that in the CC group. In the CT group, leakage from the catheter insertion site was observed in 11 of 20 patients during the observation period. On the other hand, none of the patients in the CC group showed leakage. Contiplex C™ is more effective than Contiplex Touphy™ for prevention of leakage of local anesthetics from the insertion site during continuous femoral nerve block.
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Metadaten
Titel
Comparison of catheter-over-needle and catheter-through-needle on leakage from the catheter insertion site during continuous femoral nerve block
verfasst von
Rika Nogawa
Tomoyuki Maruyama
Yoshiki Kimoto
Akinori Yamazaki
Tomoyuki Kawamata
Publikationsdatum
22.03.2018
Verlag
Springer Japan
Erschienen in
Journal of Anesthesia / Ausgabe 3/2018
Print ISSN: 0913-8668
Elektronische ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-018-2479-7

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