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[RACZ硬膜外导管。首次临床经验]

[The RACZ-epidural catheter. First clinical experiences].

作者信息

Riegler R, Hammerle A F, Albright G A, Neumark J

出版信息

Reg Anaesth. 1984 Jul;7(3):109-11.

PMID:6505325
Abstract

We tested a new epidural catheter, which is made of a stainless steel spiral (similar to an anode endotracheal tube) covered with a fluorpolymer. This catheter was tested in 15 patients who were administered lumbar epidural anaesthesia for pain relief during labor. We also have information on the evaluation of this catheter in about 100 patients from the obstetric anesthesia service, Stanford-University Medical Center. The main advantage of this catheter is, that it does not kink. The disadvantages are: 1. catheter leakage either at the skin interface or just below the injection port particular after prolonged usage, 2. difficult or impossible injection if the catheter injection port is screwed on too tight which requires cutting the catheter (not recommended by the manufacturer), 3. a 17 gauge rather than a 18 gauge epidural needle is recommended and 4. the high price of the catheter.

摘要

我们测试了一种新型硬膜外导管,它由覆盖有含氟聚合物的不锈钢螺旋管(类似于阳极气管导管)制成。该导管在15名接受腰椎硬膜外麻醉以缓解分娩疼痛的患者中进行了测试。我们还掌握了斯坦福大学医学中心产科麻醉科对约100名患者使用该导管的评估信息。这种导管的主要优点是不会打结。缺点包括:1. 尤其是长时间使用后,在皮肤接口处或注射端口下方会出现导管漏液;2. 如果导管注射端口拧得太紧,注射困难或无法注射,这需要剪断导管(制造商不建议这样做);3. 建议使用17号而非18号硬膜外穿刺针;4. 导管价格高昂。

相似文献

1
[The RACZ-epidural catheter. First clinical experiences].[RACZ硬膜外导管。首次临床经验]
Reg Anaesth. 1984 Jul;7(3):109-11.
2
Cannulation of the epidural space. A comparison of 18- and 16-gauge needles.
Anaesthesia. 1988 Feb;43(2):154-5.
3
Removal of a torn Racz catheter from lumbar epidural space.从腰段硬膜外腔取出撕裂的拉茨导管。
Reg Anesth. 1997 Nov-Dec;22(6):579-81.
4
Knotting of an epidural catheter: a rare complication.硬膜外导管打结:一种罕见的并发症。
Acta Anaesthesiol Belg. 2007;58(1):55-7.
5
An epidural catheter introducer in children.儿童硬膜外导管导入器。
Paediatr Anaesth. 1999;9(1):69-71.
6
Local infiltration of epinephrine-containing lidocaine with bicarbonate reduces superficial bleeding and pain during labor epidural catheter insertion: a randomized trial.含肾上腺素利多卡因与碳酸氢钠局部浸润可减少分娩硬膜外导管置入时的浅表出血和疼痛:一项随机试验。
Int J Obstet Anesth. 2007 Apr;16(2):116-21. doi: 10.1016/j.ijoa.2006.09.006. Epub 2007 Feb 5.
7
Advancing an epidural catheter 10 cm then retracting it 5 cm is no more effective than advancing it 5 cm.将硬膜外导管推进10厘米然后再退回5厘米并不比推进5厘米更有效。
J Clin Anesth. 2005 Nov;17(7):528-30. doi: 10.1016/j.jclinane.2005.08.002.
8
Inability to thread epidural catheter through epidural needle.
Anesth Analg. 1989 Aug;69(2):267-8.
9
[Knotting of a peridural catheter].[硬膜外导管打结]
Reg Anaesth. 1991 Dec;14(6):104-5.
10
[Unremovable epidural catheter due to a sling and a knot. A rare complication of epidural anesthesia in obstetrics].[因索带和结导致硬膜外导管无法拔除。产科硬膜外麻醉的一种罕见并发症]
Reg Anaesth. 1983 Jan;6(1):19-21.