2001年10月
The placement of the epidural catheter at the predicted site by electrical stimulation test
ANESTHESIA AND ANALGESIA
ダウンロード
回数 : 115
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- 巻
- 93
- 号
- 4
- 開始ページ
- 1035
- 終了ページ
- 1039
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- 出版者・発行元
- LIPPINCOTT WILLIAMS & WILKINS
More accurate segmental and sagittal positioning of the epidural catheter tip is required for the success of continuous epidural analgesia, spinal cord monitoring, and percutaneous epidural spinal cord stimulation. We examined the usefulness of an electrical stimulation test for verifying the proper placement of the epidural catheter tip at the predicted site in the posterior epidural space by using a locally developed epidural catheter with electrodes at its tip. The test included the observation of segmental bilateral muscle twitches and the patient's report of feeling in the region stimulated by moving the epidural catheter electrode back and forth and changing the direction of the bevel of the Tuohy needle. The success rate of midline placement at the required spinal segment was significantly more frequent (99%; P < 0.001) in the group (n = 289) receiving the electrical stimulation test compared with the group (n = 277) not receiving the test (success rate 57%). The results indicate the usefulness of this method. We concluded that the electrical stimulation test is effective for verifying the proper placement of the catheter electrode tip.
- リンク情報
- ID情報
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- ISSN : 0003-2999
- Web of Science ID : WOS:000171237900043