title: Tunnelling of caudal epidural catheters in infants.
abstract: The working conditions in the developing world necessitate the development of many adaptations and improvizations of accepted anaesthetic techniques to improve patient care. Subcutaneous tunnelling of caudally placed epidural catheters is one such improvization to prevent the soiling of the catheter by urine and faeces. This study compares the duration of retention of catheter in a group with tunnelled catheters with an untunnelled group. The absence of a catheter emerging through skin at the site of catheter insertion hastens healing thus prolonging the retention of catheter in the tunnelled group and soiling ceases to be a major problem.
authors.affiliation: Department of Anaesthesiology, Bai Jerbai Wadia Hospital for Children Acharya Donde Marg, Parel, Mumbai 400012, India.
authors.forename: L
authors.initials: L
authors.lastname: Vas
authors.forename: V
authors.initials: V
authors.lastname: Naik
authors.forename: B
authors.initials: B
authors.lastname: Patil
authors.forename: S
authors.initials: S
authors.lastname: Sanzgiri
mesh_terms: D015360:Analgesia, Epidural / Q000295:instrumentation* / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage; D001458:Bandages; D002045:Bupivacaine / Q000008:administration & dosage; D004866:Equipment Contamination / Q000517:prevention & control; D005243:Feces; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009339:Needles; D011677:Punctures / Q000295:instrumentation; D012447:Sacrum; D012867:Skin; D014556:Urine
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine