Safety of a multiperforated catheter implanted in the surgical wound for the continuous infusion of local anaesthetics in post-operative analgesia
To evaluate the incidence of infection at the surgical site in patients who have a multiperforated catheter implant for continuous infusion of a local anaesthetic as a local analgesic. An observational, descriptive and prospective study, of one month duration. It included 50 patients subjected to se...
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| Veröffentlicht in: | Cirugia Española 2011-11, Vol.89 (9), p.613-617 |
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| container_title | Cirugia Española |
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| creator | Lluis, Félix Romero Simó, Manuel Márquez Peiró, Juan Francisco Selva Otaolaurruchi, Juan Zarco, Antonio |
| description | To evaluate the incidence of infection at the surgical site in patients who have a multiperforated catheter implant for continuous infusion of a local anaesthetic as a local analgesic.
An observational, descriptive and prospective study, of one month duration. It included 50 patients subjected to selective laparotomy in whom a multiperforated pre-peritoneal catheter was implanted for analgesia purposes (Painfusor®. Baxter). Patients with a surgical incision of less than 15 cm and/or ASA>III, were excluded from the study.
The catheter was removed from all patients at 48 hours. An infection at the surgical site was present in 6% of the patients who had the catheter implanted, which was similar to the incidence in clean-contaminated surgery (5.5%; 95% CI: 3.4-8.7%). Colonisation of the catheter was observed in two patients, causing only one infection of the surgical site.
The use of an in-situ pre-peritoneal catheter for post-surgical anaesthesia does not increase the risk of surgical site infection. |
| doi_str_mv | 10.1016/j.ciresp.2011.06.002 |
| format | Article |
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An observational, descriptive and prospective study, of one month duration. It included 50 patients subjected to selective laparotomy in whom a multiperforated pre-peritoneal catheter was implanted for analgesia purposes (Painfusor®. Baxter). Patients with a surgical incision of less than 15 cm and/or ASA>III, were excluded from the study.
The catheter was removed from all patients at 48 hours. An infection at the surgical site was present in 6% of the patients who had the catheter implanted, which was similar to the incidence in clean-contaminated surgery (5.5%; 95% CI: 3.4-8.7%). Colonisation of the catheter was observed in two patients, causing only one infection of the surgical site.
The use of an in-situ pre-peritoneal catheter for post-surgical anaesthesia does not increase the risk of surgical site infection.</description><identifier>EISSN: 1578-147X</identifier><identifier>DOI: 10.1016/j.ciresp.2011.06.002</identifier><identifier>PMID: 21880308</identifier><language>spa</language><publisher>Spain</publisher><subject>Aged ; Analgesia - methods ; Anesthetics, Local - administration & dosage ; Catheters, Indwelling - adverse effects ; Female ; Humans ; Male ; Middle Aged ; Pain, Postoperative - drug therapy ; Prospective Studies ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology</subject><ispartof>Cirugia Española, 2011-11, Vol.89 (9), p.613-617</ispartof><rights>Copyright © 2011 AEC. Published by Elsevier Espana. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21880308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lluis, Félix</creatorcontrib><creatorcontrib>Romero Simó, Manuel</creatorcontrib><creatorcontrib>Márquez Peiró, Juan Francisco</creatorcontrib><creatorcontrib>Selva Otaolaurruchi, Juan</creatorcontrib><creatorcontrib>Zarco, Antonio</creatorcontrib><title>Safety of a multiperforated catheter implanted in the surgical wound for the continuous infusion of local anaesthetics in post-operative analgesia</title><title>Cirugia Española</title><addtitle>Cir Esp</addtitle><description>To evaluate the incidence of infection at the surgical site in patients who have a multiperforated catheter implant for continuous infusion of a local anaesthetic as a local analgesic.
An observational, descriptive and prospective study, of one month duration. It included 50 patients subjected to selective laparotomy in whom a multiperforated pre-peritoneal catheter was implanted for analgesia purposes (Painfusor®. Baxter). Patients with a surgical incision of less than 15 cm and/or ASA>III, were excluded from the study.
The catheter was removed from all patients at 48 hours. An infection at the surgical site was present in 6% of the patients who had the catheter implanted, which was similar to the incidence in clean-contaminated surgery (5.5%; 95% CI: 3.4-8.7%). Colonisation of the catheter was observed in two patients, causing only one infection of the surgical site.
The use of an in-situ pre-peritoneal catheter for post-surgical anaesthesia does not increase the risk of surgical site infection.</description><subject>Aged</subject><subject>Analgesia - methods</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Prospective Studies</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><issn>1578-147X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kMtOwzAQRS0kREvhDxDyjlWCX0mcJap4SZVYABK7yHHs4iqJgx-g_gZfjANlNdKZO3fmDgAXGOUY4fJ6l0vjlJ9ygjDOUZkjRI7AEhcVzzCr3hbg1PtdggXF5AQsCOYcUcSX4PtZaBX20Goo4BD7YCbltHUiqA5KEd5VUA6aYerFOCMzwsSgj25rpOjhl41jB9PAL5Z2DGaMNvok1NEbO87OvZ2lYhTKz4ZGzm04WR8ym9aJYD7V3O63yhtxBo616L06P9QVeL27fVk_ZJun-8f1zSabMEMhK1WFtaSYY8kZo23HmOaFbCXhXMgaaSao6gjhlBKNpeYaCVG2NZGsLhmWdAWu_nwnZz9iOq0ZjJeqT0lVStDUqK4KxAhKysuDMraD6prJmUG4ffP_RvoDvap4sg</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Lluis, Félix</creator><creator>Romero Simó, Manuel</creator><creator>Márquez Peiró, Juan Francisco</creator><creator>Selva Otaolaurruchi, Juan</creator><creator>Zarco, Antonio</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Safety of a multiperforated catheter implanted in the surgical wound for the continuous infusion of local anaesthetics in post-operative analgesia</title><author>Lluis, Félix ; Romero Simó, Manuel ; Márquez Peiró, Juan Francisco ; Selva Otaolaurruchi, Juan ; Zarco, Antonio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-6e71fc3181c8443bd44f85cbc288ac90f4a3ed228332f1cf8f0aa6b92c49641c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Analgesia - methods</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Prospective Studies</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lluis, Félix</creatorcontrib><creatorcontrib>Romero Simó, Manuel</creatorcontrib><creatorcontrib>Márquez Peiró, Juan Francisco</creatorcontrib><creatorcontrib>Selva Otaolaurruchi, Juan</creatorcontrib><creatorcontrib>Zarco, Antonio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Cirugia Española</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lluis, Félix</au><au>Romero Simó, Manuel</au><au>Márquez Peiró, Juan Francisco</au><au>Selva Otaolaurruchi, Juan</au><au>Zarco, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety of a multiperforated catheter implanted in the surgical wound for the continuous infusion of local anaesthetics in post-operative analgesia</atitle><jtitle>Cirugia Española</jtitle><addtitle>Cir Esp</addtitle><date>2011-11</date><risdate>2011</risdate><volume>89</volume><issue>9</issue><spage>613</spage><epage>617</epage><pages>613-617</pages><eissn>1578-147X</eissn><abstract>To evaluate the incidence of infection at the surgical site in patients who have a multiperforated catheter implant for continuous infusion of a local anaesthetic as a local analgesic.
An observational, descriptive and prospective study, of one month duration. It included 50 patients subjected to selective laparotomy in whom a multiperforated pre-peritoneal catheter was implanted for analgesia purposes (Painfusor®. Baxter). Patients with a surgical incision of less than 15 cm and/or ASA>III, were excluded from the study.
The catheter was removed from all patients at 48 hours. An infection at the surgical site was present in 6% of the patients who had the catheter implanted, which was similar to the incidence in clean-contaminated surgery (5.5%; 95% CI: 3.4-8.7%). Colonisation of the catheter was observed in two patients, causing only one infection of the surgical site.
The use of an in-situ pre-peritoneal catheter for post-surgical anaesthesia does not increase the risk of surgical site infection.</abstract><cop>Spain</cop><pmid>21880308</pmid><doi>10.1016/j.ciresp.2011.06.002</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | EISSN: 1578-147X |
| ispartof | Cirugia Española, 2011-11, Vol.89 (9), p.613-617 |
| issn | 1578-147X |
| language | spa |
| recordid | cdi_proquest_miscellaneous_909750420 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Analgesia - methods Anesthetics, Local - administration & dosage Catheters, Indwelling - adverse effects Female Humans Male Middle Aged Pain, Postoperative - drug therapy Prospective Studies Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology |
| title | Safety of a multiperforated catheter implanted in the surgical wound for the continuous infusion of local anaesthetics in post-operative analgesia |
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