Combined two-level spinal-epidural anesthesia with fixation of an epidural catheter in the subcutaneous canal in a long-liver patient with a closed hip fracture
https://doi.org/10.25789/YMJ.2021.75.10
Abstract
The article discusses a clinical case of combined two-level spinal-epidural anesthesia (CDSEA) with fixation of an epidural catheter (EC) in the subcutaneous canal in a long-liver patient with a closed hip fracture. The use in a patient of a long-liver with a high anesthetic risk, with multiple comorbid pathology of local anesthesia in the form of СDSEA with a reliable method of EC fixation in the saphenous canal during surgery for a fracture of the proximal femur, as well as with subsequent long-term postoperative pain relief in the form of epidural analgesia, contributed to the successful the operation, the absence of complications in the postoperative period and early activation of the patient.
About the Authors
O. N. YamshchikovRussian Federation
Yamshchikov Oleg Nikolaevich – MD, Associate Professor, Head of the Department
A. P. Marchenko
Russian Federation
Marchenko Alexander Petrovich – Senior lecturer
S. A. Yemelyanov
Russian Federation
Yemelyanov Sergey Alexandrovich - Associate Professor
A. V. Cherkaeva
Russian Federation
Cherkaeva Alexandra Vladimirovna – resident doctor
S. A. Mordovin
Russian Federation
Mordovin Sergey Alekseevich – Assistant of the Department
A. N. Petrukhin
Russian Federation
Petrukhin Anton Nikolaevich – Assistant of the Department
References
1. Analysis of the effectiveness of various methods of fixing the epidural catheter/ S.L. Epstein, I.A. Karpov A.M. Ovechkin.
2. A safe way to place an epidural catheter in a "tunnel" for prolonged anesthesia. Patent RU 2 301 083 C2. MKP A61M 19/00 (2006. 01) /Ilyin S.A., Subbotin V.V., Mironenko A.V.
3. Koryachkin V.A. Neuroaxial blockades. Saint Petersburg ELBI-SPb 2013. from 276-277
4. Koryachkin V.A. Neuroaxial blockades. Saint Petersburg ELBI-SPb 2013. from 283-284
5. Method of conducting an epidural catheter in the subcutaneous canal during two-segment spinal-epidural anesthesia. Patent RU No. 2 727 234 C 1 class IPC A 61 19/00 dated 21.07.2020/Marchenko A.P., Yamshchikov O.N., Yemelyanov S.A.
6. Method of fixing the epidural catheter during prolonged epidural anesthesia. Patent RU 2 309 772 C1 A61M 19/00 (2006.01) Kuzmin V.V., Egorov V. M.
7. A device for forming a subcutaneous tunnel and conducting an epidural catheter. Patent RU 26426 U1. MKP A61M 25/06 (2000. 01) Nikolaev A.V.
8. Bishton I.M, Martin P.H, Vernon J.M, Liu W.H. Factor influencingepidural catheter migration. anaesthesia. 1992 Jul; 47 (7); 610-2.
9. Clark M., O'Hare K., Gorringe J. The effect of the Lockit epidural catheter clamp on epidural migration: a controlled trial. // Anaesthesia – 2001. –V.56. – P.865-870.
10. Coupe M., Al-Shaikh B., 1999; Carrie L. E. S., 2000
11. Crosby E. Epidural catheter migration during labour: a hypothesis for inadequate analgesia. // Can. J.Anaesth. - 1990. – V.37. – P.789-793.
12. Curatolo M., Orlando A., Zbinden A. Failure rate of epidural anaesthesia for foot and ankle surgery. A comparison with other surgical procedures. // Eur. J. Anaesthesiol. – 1995. – V.12. – P.363-367.
13. Curelaru I. Long duration subarachnoidal anesthesia with continuous epidural blocks // Prak Anaesth Wiederbelebung Intensivther 1979; 14: 71-8
14. Thipathi М., et all. Epidural catheter fixation: subcutaneous tunneling with a loop to prevent displacement // Anaesthesia. v.55, issve 11, p.1113, Nov. 2000.
15. Webster S. Migration of epidural catheters (letter). // Anaesthesia. – 1986. – V.41. – P.654.
Review
For citations:
Yamshchikov O.N., Marchenko A.P., Yemelyanov S.A., Cherkaeva A.V., Mordovin S.A., Petrukhin A.N. Combined two-level spinal-epidural anesthesia with fixation of an epidural catheter in the subcutaneous canal in a long-liver patient with a closed hip fracture. Yakut Medical Journal. 2021;(3):40-42. https://doi.org/10.25789/YMJ.2021.75.10