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- Publisher Website: 10.1177/0310057X0403200503
- Scopus: eid_2-s2.0-7244232810
- PMID: 15535484
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Article: Delayed epidural catheter removal: the impact of postoperative coagulopathy
Title | Delayed epidural catheter removal: the impact of postoperative coagulopathy |
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Authors | |
Keywords | Epidural anaesthesia: catheter, delayed removal, coagulopathy, complications |
Issue Date | 2004 |
Publisher | Australian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.au |
Citation | Anaesthesia and Intensive Care, 2004, v. 32 n. 5, p. 630-636 How to Cite? |
Abstract | A retrospective analysis of 413 patients who received postoperative epidural analgesia under a standardized protocol found that 84 (20%) had a duration of epidural catheterization of greater than four days. The most common reasons were significant pain (n=64, 15%) and coagulopathy (n=26, 6%). Risk factor analysis for coagulopathy showed an odds ratio of 10.1 (95% confidence interval 4.2-24.5) for prolonged epidural catheterization among patients undergoing hepatectomy. Magnetic resonance imaging, performed in four patients with clinical signs suggestive of epidural haematoma, was negative for a space-occupying lesion in all cases. Eleven patients developed fever and clinical signs suggestive of epidural catheter-related infection, necessitating early catheter removal. Sixteen patients had persistent lower limb weakness at 24 hours after catheter removal. The signs soon resolved in all except two, one of whom had neuropathy related to intraoperative positioning and the other preoperative weakness. Accidental epidural catheter dislodgement occurred in 29 patients (7%) and is potentially hazardous if coagulopathy is unresolved. The risk-benefit ratio and factors complicating catheter removal, especially coagulopathy, should be considered when deciding whether to use epidural techniques. |
Persistent Identifier | http://hdl.handle.net/10722/67286 |
ISSN | 2023 Impact Factor: 1.1 2023 SCImago Journal Rankings: 0.534 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Tsui, SL | en_HK |
dc.contributor.author | Yong, BH | en_HK |
dc.contributor.author | Ng, KFJ | en_HK |
dc.contributor.author | Yuen, TST | en_HK |
dc.contributor.author | Li, CCF | en_HK |
dc.contributor.author | Chui, KY | en_HK |
dc.date.accessioned | 2010-09-06T05:53:38Z | - |
dc.date.available | 2010-09-06T05:53:38Z | - |
dc.date.issued | 2004 | en_HK |
dc.identifier.citation | Anaesthesia and Intensive Care, 2004, v. 32 n. 5, p. 630-636 | en_HK |
dc.identifier.issn | 0310-057X | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/67286 | - |
dc.description.abstract | A retrospective analysis of 413 patients who received postoperative epidural analgesia under a standardized protocol found that 84 (20%) had a duration of epidural catheterization of greater than four days. The most common reasons were significant pain (n=64, 15%) and coagulopathy (n=26, 6%). Risk factor analysis for coagulopathy showed an odds ratio of 10.1 (95% confidence interval 4.2-24.5) for prolonged epidural catheterization among patients undergoing hepatectomy. Magnetic resonance imaging, performed in four patients with clinical signs suggestive of epidural haematoma, was negative for a space-occupying lesion in all cases. Eleven patients developed fever and clinical signs suggestive of epidural catheter-related infection, necessitating early catheter removal. Sixteen patients had persistent lower limb weakness at 24 hours after catheter removal. The signs soon resolved in all except two, one of whom had neuropathy related to intraoperative positioning and the other preoperative weakness. Accidental epidural catheter dislodgement occurred in 29 patients (7%) and is potentially hazardous if coagulopathy is unresolved. The risk-benefit ratio and factors complicating catheter removal, especially coagulopathy, should be considered when deciding whether to use epidural techniques. | en_HK |
dc.language | eng | en_HK |
dc.publisher | Australian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.au | en_HK |
dc.relation.ispartof | Anaesthesia and Intensive Care | en_HK |
dc.subject | Epidural anaesthesia: catheter, delayed removal, coagulopathy, complications | - |
dc.subject.mesh | Analgesia, Epidural - adverse effects - instrumentation - methods | en_HK |
dc.subject.mesh | Blood Coagulation Disorders - epidemiology - etiology | en_HK |
dc.subject.mesh | Catheterization - adverse effects | en_HK |
dc.subject.mesh | Device Removal - adverse effects | en_HK |
dc.subject.mesh | Pain, Postoperative - prevention and control - therapy | en_HK |
dc.title | Delayed epidural catheter removal: the impact of postoperative coagulopathy | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0310-057X&volume=32&spage=630&epage=636&date=2004&atitle=Delayed+epidural+catheter+removal:+the+impact+of+postoperative+coagulopathy | en_HK |
dc.identifier.email | Tsui, SL: sltsui@hkucc.hku.hk | en_HK |
dc.identifier.email | Yong, BH: bhyong@hku.hk | - |
dc.identifier.email | Ng, KFJ: jkfng@hku.hk | - |
dc.identifier.authority | Ng, KFJ=rp00544 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1177/0310057X0403200503 | - |
dc.identifier.pmid | 15535484 | en_HK |
dc.identifier.scopus | eid_2-s2.0-7244232810 | en_HK |
dc.identifier.hkuros | 97316 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-7244232810&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 32 | en_HK |
dc.identifier.issue | 5 | en_HK |
dc.identifier.spage | 630 | en_HK |
dc.identifier.epage | 636 | en_HK |
dc.identifier.isi | WOS:000224708900003 | - |
dc.publisher.place | Australia | en_HK |
dc.identifier.issnl | 0310-057X | - |