1994
DOI: 10.1213/00000539-199401000-00017
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A Comparison of Epidural Catheters With or Without Subcutaneous Injection Ports for Treatment of Cancer Pain

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Cited by 52 publications
(38 citation statements)
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“…Lumboperitoneal shunting places a silicone tube aseptically in the intrathecal space and residual portions may not need to be removed because they do not elicit a tissue reaction. 1) The incidence of catheter infection and meningitis is low even if the catheter is left in situ. 2,3) We found only 2 other patients who retained a fragment of lumbar drainage tube fragment.…”
Section: Discussionmentioning
confidence: 99%
“…Lumboperitoneal shunting places a silicone tube aseptically in the intrathecal space and residual portions may not need to be removed because they do not elicit a tissue reaction. 1) The incidence of catheter infection and meningitis is low even if the catheter is left in situ. 2,3) We found only 2 other patients who retained a fragment of lumbar drainage tube fragment.…”
Section: Discussionmentioning
confidence: 99%
“…Techniques and delivery systems The choice of external or totally implanted delivery systems is based on clinical considerations, such as life expectancy or physician experience, and costs [14,34]. From the perspective of cost analysis alone, savings accrue when patients requiring treatment of over 3 months, duration are managed with an implantable, noninvasively programmable drug delivery system rather than with an exteriorized system with an external pump [4].…”
Section: Technical Aspectsmentioning
confidence: 99%
“…Implantation of injection ports may be found to prevent dislodgements and infections when indexed to catheter-days. Long-term spinal administration of morphine via an implanted portal was associated with a low incidence of complications in patients with cancer pain, and allowed patients to be cared for at home by relatives, although supervision is essential as some complications require prompt intervention [14,50]. However, leakage and occlusion occurred more frequently in the injection port group.…”
Section: Technical Aspectsmentioning
confidence: 99%
“…In drei verschiedenen Analysen mit jeweils etwa 10.000 SPA traten keine ZNS-Infektionen auf [38,70,78]. Das Auftreten einer Meningitis in Zusammenhang mit Epiduralanästhesien/-analgesien (EDA) beschränkt sich auf Einzelfallberichte [11,23,35,54,61,67,82,84].…”
Section: Häufigkeit Bei Rückenmarknahen Regionalanästhesienunclassified
“…Für die geburtshilfliche EDA wird eine Häufigkeit epiduraler Abszesse von 1:500.000 angegeben [95]. Während für kurzzeitige Epiduralkatheteranlagen eine Inzidenz epiduraler Abszesse von 1:100.000 genannt wird [71], so liegt sie bei der mehrwöchigen bis mehrmonatigen Anwendung zwischen 0,8% [35] und 4% [39]. Diese hohe Komplikationsrate kann neben der langen Katheterverweildauer allerdings auch mit der Tatsache in Zusammenhang stehen, daß mit der chronischen EDA immunkompromittierte Patienten mit malignen Tumoren oder AIDS behandelt wurden.…”
Section: Häufigkeit Bei Rückenmarknahen Regionalanästhesienunclassified