Dislocation of catheters during continuous peripheral nerve blocks. An invisible problem [Текст] / B. Tuyakov [и др.] // Клінічна анестезіологія та інтенсивна терапія. - 2017. - № 1. - С. 53-60. - Библиогр. в конце ст.


MeSH-головна:
НЕРВА БЛОКАДА -- NERVE BLOCK (методы)
АНЕСТЕЗИЯ МЕСТНАЯ -- ANESTHESIA, LOCAL (методы)
КАТЕТЕРЫ -- CATHETERS
БОЛИ ПОСЛЕОПЕРАЦИОННЫЕ -- PAIN, POSTOPERATIVE
Анотація: The frequency of catheter dislocation remains unknown. Dislodgement can rise up to 30 % and might affect the quality of postoperative regional analgesia. The manufacturers introduce an increasing number of technical solutions, which improve the original placement and provide the potential possibility to correct the catheter location during a post-operative analgesia. Materials and methods. The catheter over needle are good option to reduce dislodgement of peripheral nerve catheters. New type of catheter — Certa Catheter has original design and might be an alternative during continuous peripheral nerve blocks. Further studies are guarranteed. Optimal care, adequate fixation, antiseptic technique stay main factors to diminish this problem. Results. Clinical data showed that the problem of catheter dislodgemnt by peripheral nerve blocks is underestimated. The frequency of displacement is very high and might affect the quality of postoperative regional analgesia. The reasons of dislocation has been not determined completely. Conclusions. The catheters over needle can diminish the leakage around the catheter and increase the resistance. The Certa Catheter is a new promissing method and further investigations are guarranteed. The proper care and attention stay main factors decreasing dislocation of the catheters
Дод.точки доступу:
Tuyakov, B.
Stepien, Z.
Onichimowski, D.
Mayzner-Zawadzka, E.

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