Tsui Ban C H, Finucane Brendan
From the Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada.
Anesth Analg. 2003 Nov;97(5):1524-1526. doi: 10.1213/01.ANE.0000086724.96661.8F.
There are no data about the mechanical properties of the 20-gauge reinforced Arrow epidural catheter, which has a similar design to the 19-gauge reinforced Arrow catheter. In this study, we compared the mechanical properties of 19- and 20-gauge Arrow epidural catheters at 22 degrees C and 37 degrees C. The distal 12 cm of each catheter was suspended in an enclosed chamber maintained at either 22 degrees C or 37 degrees C. A pair of forceps was applied to each catheter 5 cm from the distal end (fixed site). Another pair of forceps was applied 15 cm from the catheter tip (traction site). The catheter was pulled. At 22 degrees C, the mean fracture force was 2.24 kg (range, 1.96 - 2.41 kg) for 5 19-gauge catheters and 2.17 kg (range, 2.04-2.41 kg) for 5 20-gauge catheters. At 37 degrees C, the mean force was 1.98 kg (range 1.84- 2.15 kg) for 5 19-gauge catheters and 1.99 kg (range, 1.81-2.09 kg) for 5 20-gauge catheters. There were no significant differences in tensile strength between the two different gauge catheters at either temperature. All the 19-gauge catheters fractured at the same "fixed site" at both temperatures. All the 20-gauge catheters elongated at the "fixed site" but fractured at the "traction site." We conclude that using the smaller-gauge catheter (20-gauge) is not associated with a more frequent rate of fracture.
The 20-gauge Arrow epidural catheters had similar tensile strengths as the 19-gauge epidural catheters but fractured at the traction site rather than at the fixed site. Thus, the 20-gauge Arrow catheter may be a reasonable alternative to the 19-gauge Arrow catheter.
目前尚无关于20号加强型箭牌硬膜外导管机械性能的数据,该导管与19号加强型箭牌导管设计相似。在本研究中,我们比较了19号和20号箭牌硬膜外导管在22摄氏度和37摄氏度时的机械性能。将每根导管的远端12厘米悬挂在保持在22摄氏度或37摄氏度的封闭腔室内。在距远端5厘米处(固定点)对每根导管施加一把镊子。在距导管尖端15厘米处(牵引点)施加另一把镊子。拉动导管。在22摄氏度时,5根19号导管的平均断裂力为2.24千克(范围为1.96 - 2.41千克),5根20号导管的平均断裂力为2.17千克(范围为2.04 - 2.41千克)。在37摄氏度时,5根19号导管的平均力为1.98千克(范围为1.84 - 2.15千克),5根20号导管的平均力为1.99千克(范围为1.81 - 2.09千克)。在这两个温度下,两种不同规格导管的拉伸强度均无显著差异。所有19号导管在两个温度下均在同一“固定点”断裂。所有20号导管在“固定点”伸长,但在“牵引点”断裂。我们得出结论,使用较小规格的导管(20号)与更高的断裂发生率无关。
20号箭牌硬膜外导管的拉伸强度与19号硬膜外导管相似,但在牵引点而非固定点断裂。因此,20号箭牌导管可能是19号箭牌导管的合理替代品。