Intrapartum epidural catheter displacement: Comparison of three dressing methods (Migración de catéter epidural intraparto: Comparación de tres métodos de fijación)

Efrain Riveros Perez; Katie Barnett; Enoe Jimenez; Nianlan Yang; Alexander Rocuts

doi:10.31053/1853.0605.v76.n3.22726

Authors

Efrain Riveros Perez Augusta University
Katie Barnett Augusta University
Enoe Jimenez Augusta University
Nianlan Yang Augusta University
Alexander Rocuts Augusta University

DOI:

https://doi.org/10.31053/1853.0605.v76.n3.22726

Keywords:

epidural anesthesia, obstetric anesthesia, labor

Abstract

Aim: To compare the effect on epidural catheter migration of three different types of dressing used in labor.

Introduction: Failure of labor epidural is due to multiple factors including catheter migration. Epidural catheter migration has been showed to be related to body mass index and patient position. The dressing technique also influences catheter migration and the risk of epidural failure.

Methods: Patients were randomly allocated to one of three groups based on type of dressing of labor epidural: Tegaderm^TM (Group T), TegadermTM with sticky pad (Group P), and Tegaderm^TM with Steri-Strip^TM (Group S). Measured variables included parity, gestational age, body mass index (BMI), level of puncture and distance of epidural catheter migration.

Results: There was an overall difference in epidural catheter migration (ECM) distance among different groups (p<0.05). Pairwise comparison revealed only a significant difference between groups P and T (0.76±1.35 vs. -0.14±1.03, p<0.01).

Conclusion: Taping the lumbar epidural catheter used for labor analgesia with Tegaderm^TM is inferior to Tegaderm^TM with sticky pad or with Steri-Strip^TM in terms of catheter migration. There is no association of catheter migration and BMI.

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Author Biographies

Efrain Riveros Perez, Augusta University

Medical Doctor. Assistant Professor. Department of Anesthesiology and Perioperative Medicine. Medical College of Georgia at Augusta University. Outcomes Research Consortium. Cleveland Clinic.
Katie Barnett, Augusta University

Medical Doctor. Anesthesiology Resident. Department of Anesthesiology and Perioperative Medicine. Medical College of Georgia at Augusta University
Enoe Jimenez, Augusta University

Medical Doctor. Research Assistant. Department of Anesthesiology and Perioperative Medicine. Medical College of Georgia at Augusta University
Nianlan Yang, Augusta University

Medical Doctor. PhD. Post-Doctoral Fellow. Department of Anesthesiology and Perioperative Medicine. Medical College of Georgia at Augusta University
Alexander Rocuts, Augusta University

Medical Doctor. Assistant Professor. Department of Anesthesiology and Perioperative Medicine. Medical College of Georgia at Augusta University

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