Fluoroscopic guidance increases the incidence of thoracic epidural catheter placement within the epidural space: A randomized trial

Regional Anesthesia and Pain Medicine

Volumn 42, Issue 1, 2017, Pages 17-24

  Parra, Michelle C ^a   Washburn, Kristin ^b   Brown, Jeremiah R ^c   Beach, Michael L ^d   Yeager, Mark P ^d   Barr, Patricia ^d   Bonham, Kathy ^d   Lamb, Kathryn ^d   Loftus, Randy W ^a  

^a UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

^b Department of Anesthesiology   (United States)

^c DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^d DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; GABAPENTIN; IBUPROFEN; IOHEXOL; KETOROLAC; LIDOCAINE; LORAZEPAM; MORPHINE; PARACETAMOL; SODIUM CHLORIDE;

ADJUVANT THERAPY; ADULT; AIR; ARTICLE; CONTROLLED STUDY; DECORTICATION; EPIDURAL CATHETER; EPIDURAL SPACE; FEMALE; FLUOROSCOPY; FLUOROSCOPY SYSTEM; HOSPITALIZATION; HUMAN; INCIDENCE; INTENTION TO TREAT ANALYSIS; LENGTH OF STAY; LOBECTOMY; LUNG RESECTION; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT; POSTOPERATIVE ANALGESIA; POSTOPERATIVE PAIN; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RECOVERY ROOM; THORAX SURGERY; WEDGE RESECTION; AGED; CATHETERIZATION; DEVICES; DIAGNOSTIC IMAGING; EPIDURAL ANALGESIA; INDWELLING CATHETER; INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING; PROCEDURES; THORACIC VERTEBRA;

AGED; ANALGESIA, EPIDURAL; CATHETERIZATION; CATHETERS, INDWELLING; EPIDURAL SPACE; FEMALE; FLUOROSCOPY; HUMANS; INCIDENCE; INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING; MALE; MIDDLE AGED; THORACIC VERTEBRAE;

EID: 85007504186     PISSN: 10987339     EISSN: 15328651     Source Type: Journal    
DOI: 10.1097/AAP.0000000000000519     Document Type: Article

References (31)

1. Marret E, Remy C, Bonnet F, Postoperative Pain Forum Group. Meta-analysis of epidural analgesia versus parenteral opioid analgesia after colorectal surgery. Br J Surg. 2007;94:665-673.
2. Fant F, Axelsson K, Sandblom D, Magnuson A, Andersson SO, Gupta A. Thoracic epidural analgesia or patient-controlled local analgesia for radical retropubic prostatectomy: a randomized, double-blind study. Br J Anaesth. 2011;107:782-789.
3. Zahoor MU, Masroor R, Khurshid T, Azhar R, Amjad Yasin MM. Thoracic epidural anaesthesia for open cholecystectomy. J Coll Physicians Surg Pak. 2011;21:654-658.
4. Hansdottir V, Philip J, Olsen MF, Eduard C, Houltz E, Ricksten SE. Thoracic epidural versus intravenous patient-controlled analgesia after cardiac surgery: a randomized controlled trial on length of hospital stay and patient-perceived quality of recovery. Anesthesiology. 2006;104:142-151.
5. Mann C, Pouzeratte Y, Boccara G, et al. Comparison of intravenous or epidural patient-controlled analgesia in the elderly after major abdominal surgery. Anesthesiology. 2000;92:433-441.
6. Wu CL, Cohen SR, Richman JM, et al. Efficacy of postoperative patient-controlled and continuous infusion epidural analgesia versus intravenous patient-controlled analgesia with opioids: a meta-analysis. Anesthesiology. 2005;103:1079-1088.
7. Pöpping DM, Elia N, Marret E, Remy C, Tramèr MR. Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery: a meta-analysis. Arch Surg. 2008;143:990-999.
8. Sentürk M, Ozcan PE, Talu GK, et al. The effects of three different analgesia techniques on long-term postthoracotomy pain. Anesth Analg. 2002;94:11-15.
9. Jayr C, Thomas H, Rey A, Farhat F, Lasser P, Bourgain JL. Postoperative pulmonary complications. Epidural analgesia using bupivacaine and opioids versus parenteral opioids. Anesthesiology. 1993;78:666-676.
10. Ballantyne JC, Carr DB, De Ferranti S, et al. The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg. 1998;86:598-612.
11. Hermanides J, Hollmann MW, Stevens MF, Lirk P. Failed epidural: causes and management. Br J Anaesth. 2012;109:144-154.
12. Wantman A, Hancox N, Howell PR. Techniques for identifying the epidural space: a survey of practice amongst anaesthetists in the UK. Anaesthesia. 2006;61:370-375.
13. Pan PH, Bogard TD, Owen MD. Incidence and characteristics of failures in obstetric neuraxial analgesia and anesthesia: a retrospective analysis of 19, 259 deliveries. Int J Obstet Anesth. 2004;13:227-233.
14. Collier CB. Why obstetric epidurals fail: a study of epidurograms. Int J Obstet Anesth. 1996;5:19-31.
15. Hamilton CL, Riley ET, Cohen SE. Changes in the position of epidural catheters associated with patient movement. Anesthesiology. 1997;86:778-84. discussion 29A.
16. Lirk P, Messner H, Deibl M, et al. Accuracy in estimating the correct intervertebral space level during lumbar, thoracic and cervical epidural anaesthesia. Acta Anaesthesiol Scand. 2004;48:347-349.
17. Eide PK, Sorteberg W. Simultaneous measurements of intracranial pressure parameters in the epidural space and in brain parenchyma in patients with hydrocephalus. J Neurosurg. 2010;113:1317-1325.
18. Hogan QH. Epidural anatomy: new observations. Can J Anaesth. 1998;45:R40-R48.
19. Moon JY, Lee PB, Nahm FS, Kim YC, Choi JB. Cervical epidural pressure measurement: comparison in the prone and sitting positions. Anesthesiology. 2010;113:666-671.
20. Hoffmann VL, Vercauteren MP, Vreugde JP, Hans GH, Coppejans HC, Adriaensen HA. Posterior epidural space depth: safety of the loss of resistance and hanging drop techniques. Br J Anaesth. 1999;83:807-809.
21. Grau T, Bartusseck E, Conradi R, Martin E, Motsch J. Ultrasound imaging improves learning curves in obstetric epidural anesthesia: a preliminary study. Can J Anaesth. 2003;50:1047-1050.
22. Balki M, Lee Y, Halpern S, Carvalho JC. Ultrasound imaging of the lumbar spine in the transverse plane: the correlation between estimated and actual depth to the epidural space in obese parturients. Anesth Analg. 2009;108:1876-1881.
23. Marhofer P, Bösenberg A, Sitzwohl C, Willschke H, Wanzel O, Kapral S. Pilot study of neuraxial imaging by ultrasound in infants and children. Paediatr Anaesth. 2005;15:671-676.
24. CONSORT 2010. Available at: http://www.consort-statement.org/consort-2010. Accessed January 2, 2012.
25. Loftus RW, Yeager MP, Clark JA, et al. Intraoperative ketamine reduces perioperative opiate consumption in opiate-dependent patients with chronic back pain undergoing back surgery. Anesthesiology. 2010;113:639-646.
26. Quigley C. Opioid switching to improve pain relief and drug tolerability. Cochrane Database Syst Rev. 2004;3:CD004847.
27. Bulger EM, Edwards WT, De Pinto M, Klotz P, Jurkovich GJ. Indications and contraindications for thoracic epidural analgesia in multiply injured patients. Acute Pain. 2008;10:15-22.
28. Beilin Y, Arnold I, Telfeyan C, Bernstein HH, Hossain S. Quality of analgesia when air versus saline is used for identification of the epidural space in the parturient. Reg Anesth Pain Med. 2000;25:596-599.
29. Freise H, Van Aken HK. Risks and benefits of thoracic epidural anaesthesia. Br J Anaesth. 2011;107:859-868.
30. Wright CD, Gaissert HA, Grab JD, O'Brien SM, Peterson ED, Allen MS. Predictors of prolonged length of stay after lobectomy for lung cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database risk-adjustment model. Ann Thorac Surg. 2008;85:1857-1865.
31. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med. 2009;169:2078-2086.