Perforation of a Pajunk Stimulating Catheter After Traction-Induced Damage

Chin, Ki Jinn; Chee, Victor W. T.

doi:10.1016/j.rapm.2006.04.005

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…Although knotting is distinctly uncommon, any catheter that is difficult to remove or causes pain or paresthesia during initial traction should prompt discontinuation of removal efforts and evaluation for minimally invasive or surgical removal. 409,410 Tourniquet Effects…”

Section: Perineural Catheter Complicationsmentioning

confidence: 99%

Upper Extremity Regional Anesthesia

Neal¹,

Gerancher

Hebl

et al. 2009

Regional Anesthesia and Pain Medicine

310

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Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine's commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research.Upper extremity regional anesthesia has been a mainstay of the anesthesiologist's armamentarium since Hall 1 first reported the use of cocaine to block the brachial plexus in 1884. Recognizing that upper extremity neural blockade represents the most frequent use of peripheral nerve blocks in most anesthesiologists' practice, 2 in 2001, the American Society of Regional Anesthesia and Pain Medicine (ASRA) undertook a critical review of all available English-language publications pertinent to this topic. The resulting extensive source document was synthesized into a comprehensive review article 3 that was published in 2002; both the source and the review documents will be updated approximately every 5 years.Rather than publishing only new material that has become available since 2002, the original review article has been completely revised so that readers may continue to view the subject matter in its entirety. New topics in this review include ultrasound-guided brachial plexus block, continuous catheter-based analgesia, and a collection of new images * by medical illustrator, Jennifer Gentry (www.gentryvisualization.com). This review summarizes the essential scholarly work available from the source document, which can be viewed at Copyright © 2009 by American Society of Regional Anesthesia and Pain Medicine Address correspondence to: Joseph M. Neal, MD, 1100 Ninth Ave (B2-AN), Seattle, WA 98101 (anejmn@vmmc.org). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of this entity. James P. Rathmell, MD, served as acting editor-in-chief for this article.Financial support: None. NIH Public Access Author ManuscriptReg Anesth Pain Med. Author manuscript; available in PMC 2010 March 1. Published in final edited form as:Reg Anesth Pain Med. 2009 ; 34(2): 134-170. doi:10.1097/AAP.0b013e31819624eb. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript www.asra.com. This review article strives (1) to serve as a review of pertinent anatomy, (2) to compare the effectiveness of brachial plexus approaches and techniques, (3) to present available evidence to guide selection of pharmacological agents, (4) to describe the complications inherent to upper extremity anesthesia, (5) to consider pertinent perioperative issues, and (6) to identify informational gaps and empha...

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Section: Perineural Catheter Complicationsmentioning

confidence: 99%

Upper Extremity Regional Anesthesia

Neal¹,

Gerancher

Hebl

et al. 2009

Regional Anesthesia and Pain Medicine

310

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“…While epidural infusion was not impaired, delivery could have been compromised by catheter kinking. In the second case, breakage of the stimulation wire could have resulted in catheter damage with perforation as reported by Chin (3).…”

mentioning

confidence: 68%

Pajunk^® Tsui StimuLong epidural catheter malfunction

Kim

Seefelder

2012

Pediatric Anesthesia

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“…Entrapped continuous peripheral nerve block catheters are most often due to a knotted, kinked, or damaged catheter [3–6]. Rarely, a catheter can become sheared, with a fragment remaining inside the patient.…”

Section: Discussionmentioning

confidence: 99%

Effect of Arm Positioning on Entrapment of Infraclavicular Nerve Block Catheter

Kamenetsky

Reddy

Kendall

et al. 2017

Case Reports in Anesthesiology

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Continuous brachial plexus nerve block catheters are commonly inserted for postoperative analgesia after upper extremity surgery. Modifications of the insertion technique have been described to improve the safety of placing an infraclavicular brachial plexus catheter. Rarely, these catheters may become damaged or entrapped, complicating their removal. We describe a case of infraclavicular brachial plexus catheter entrapment related to differences in arm positioning during catheter placement and removal. Written authorization to obtain, use, and disclose information and images was obtained from the patient.

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Perforation of a Pajunk Stimulating Catheter After Traction-Induced Damage

Cited by 5 publications

References 2 publications

Upper Extremity Regional Anesthesia

Upper Extremity Regional Anesthesia

Pajunk^® Tsui StimuLong epidural catheter malfunction

Effect of Arm Positioning on Entrapment of Infraclavicular Nerve Block Catheter

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Perforation of a Pajunk Stimulating Catheter After Traction-Induced Damage

Cited by 5 publications

References 2 publications

Upper Extremity Regional Anesthesia

Upper Extremity Regional Anesthesia

Pajunk® Tsui StimuLong epidural catheter malfunction

Effect of Arm Positioning on Entrapment of Infraclavicular Nerve Block Catheter

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Product

Resources

About

Pajunk^® Tsui StimuLong epidural catheter malfunction