Kinked Perifix® FX Springwound epidural catheters
To the Editor,
We recently experienced problems with post-insertion kinking of a newer epidural catheter, Perifix® FX Springwound (B. Braun Medical Inc., Bethlehem, PA, USA), in three labouring parturients. The open-tip uniport version of the 19-G Perifix® FX Springwound catheter is the standard epidural catheter used in labour and delivery at our institution. A labour epidural was placed without difficulty in two non-obese parturients in the sitting position. In both cases, the epidural space was identified using a saline loss of resistance technique on a single pass. The catheter threaded easily and was withdrawn to the appropriate skin depth to leave 5 cm of catheter within the epidural space. The catheter was taped to the patients’ backs, and following negative aspiration, attempts were made to administer an initial dose of 0.125% bupivacaine 5 mL. There was immediate resistance in both instances. The visible parts of the catheters were examined for kinks but none were found. The ca ...
- Spiegel JE, Vasudevan A, Li Y, Hess PE. A randomized prospective study comparing two flexible epidural catheters for labour analgesia. Br J Anaesth 2009; 103: 400-5. CrossRef
- Eckmann DM. Variations in epidural catheter manufacture: implications for bending and stiffness. Reg Anesth Pain Med 2003; 28: 37-42.
- Jaime F, Mandell GL, Vallejo MC, Ramanathan S. Uniport soft-tip, open-ended catheters versus multiport firm-tipped close-ended catheters for epidural labor analgesia: a quality assurance study. J Clin Anesth 2000; 12: 89-93. CrossRef
- Banwell BR, Morley-Forster P, Krause R. Decreased incidence of complications in parturients with the arrow (FlexTip Plus) epidural catheter. Can J Anaesth 1998; 45: 370-2. CrossRef
- Kinked Perifix® FX Springwound epidural catheters
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
Volume 58, Issue 4 , pp 413-414
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