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2015, Number 3

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Rev Mex Anest 2015; 38 (3)

Determine the direction of epidural catheter placed via medial and paramedial using fluoroscopy

Maravilla-Villarruel F, Aguilar-Ambríz H

Language: Spanish
References: 12
Page: 149-153
PDF size: 216.17 Kb.


ABSTRACT

Objectives: To identify the most frequent direction in which the epidural catheter into the space, placed via medial and paramedian route, in addition to determining the technical and human factors that influence the placement of the epidural catheter and reliability. Material and methods: This was a cross-sectional, analytical, prospective study of nonionic contrast medium, 0.20 mL was administered through the epidural catheter polyamide, for later viewing by the catheter and fluoroscope your address within the epidural space. This study was performed in a total of 39 patients who were assigned to two groups. Results: Significant statistic that 25 times more reliable than the paramedian approach was found medial approach. Likewise significance was found regarding the functionality found epidural catheter paramedian approach that is 11 times greater than a medial approach. Conclusions: The results of this research and the literature found, is a precedent for considering the paramedian approach as a promise in terms of safety, reliability and efficiency of the catheter direction, because its direction is more predictable and reliable.


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