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ID 32018
JaLCDOI
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Author
Fujinaka, Waso
Hinomoto, Natsumi
Saeki, Shinsei
Yoshida, Atsushi
Uemira, Sadashige
Abstract

Continuous caudal anesthesia has been commonly used for intra- and post-operative analgesia in infants and children. However, it has a potential risk of bacterial infection, especially in infants in whom the catheter site is easily contaminated with loose stool. To avoid infection, the authors applied a new procedure using subcutaneous tunneling for continuous caudal anesthesia. In the 18 cases studied with subcutaneous tunneling, clinical signs of infection were absent and bacterial colonization was not found on the catheter tip after 3.9 +/- 1.4 days of catheterization. The incidence of catheter colonization after continuous caudal anesthesia without tunneling had been reported. In their reports, the incidence of catheter colonization ranged from 20% to 37%. Therefore, caudal catheterization with subcutaneous tunneling is a simple and safe method, and has proved very effective to reduce the risk of epidural infection.

Keywords
continuous caudal anesthesia
subcutaneous tunneling
cathter infecton
Amo Type
Article
Published Date
2001-11
Publication Title
Acta Medica Okayama
Volume
volume55
Issue
issue5
Publisher
Okayama University Medical School
Start Page
283
End Page
287
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Sience KeyUT