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

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: TegadermTM (Group T), TegadermTM with sticky pad (Group P), and TegadermTM with Steri-StripTM (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 TegadermTM is inferior to TegadermTM with sticky pad or with Steri-StripTM 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

References

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Published

2019-08-29

How to Cite

1.
Riveros Perez E, Barnett K, Jimenez E, Yang N, Rocuts A. Intrapartum epidural catheter displacement: Comparison of three dressing methods (Migración de catéter epidural intraparto: Comparación de tres métodos de fijación). Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2019 Aug. 29 [cited 2024 Jul. 17];76(3):170-3. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/22726

Issue

Vol. 76 No. 3 (2019)

Section

Original Papers

License

The Faculty of Medical Sciences Journal (RFCM) subscribes to the Open Access policy and does not charge authors fees for publishing, nor does it charge readers fees for accessing published articles (APC).