Postoperative pain control - the impact of an acute pain team

Lanigan, C.; Luffingham, Nikki

doi:10.1016/s1366-0071(98)80014-4

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Cited by 4 publications

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“…Epidural analgesia is generally safe and effective, not only in labour, but also following major orthopaedic, vascular and general surgical operations [13, 14]. The use of epidural or analgesia has been aided by the rapid expansion of acute pain teams [15], the availability of which increased from 10 to 90% of district general hospitals in the UK between 1990 and 2000. The risk to the individual patient from cross‐connected epidural and central venous lines is currently unknown, although in time the UK National Patient Safety Agency may allow a numerator to be determined.…”

Section: Discussionmentioning

confidence: 99%

Safer epidural and spinal connectors*

Lanigan

2002

Anaesthesia

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SummaryInadvertent cross-connection of epidural local anaesthetic delivery systems with intravenous lines can cause significant morbidity and even death. Inadvertent intrathecal injection of toxic intravenous drugs has already led to many deaths. If epidural and spinal systems had the standard Luer lock connection reversed the problem would be prevented. The practical implications of this idea are explored. Patient safety would be enhanced if this system were adopted.

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Section: Discussionmentioning

confidence: 99%