New to MyHealth?
Manage Your Care From Anywhere.
Access your health information from any device with MyHealth. You can message your clinic, view lab results, schedule an appointment, and pay your bill.
ALREADY HAVE AN ACCESS CODE?
DON'T HAVE AN ACCESS CODE?
NEED MORE DETAILS?
MyHealth for Mobile
The Wiley Spinal Catheter-Over-Needle System for Continuous Spinal Anesthesia A Case Series of 5 Cesarean Deliveries Complicated by Paresthesias and Headaches
The Wiley Spinal Catheter-Over-Needle System for Continuous Spinal Anesthesia A Case Series of 5 Cesarean Deliveries Complicated by Paresthesias and Headaches REGIONAL ANESTHESIA AND PAIN MEDICINE McKenzie, C. P., Carvalho, B., Riley, E. T. 2016; 41 (3): 405-410Abstract
Intrathecal catheter devices using a catheter-over-needle design and softer flexible material have been introduced to clinical practice with the aim of reducing some of the complications such as postdural puncture headaches and paresthesias seen with previous versions of intrathecal catheters. We present a case series of 5 cesarean deliveries using the Wiley Spinal intrathecal system (Epimed, Johnstown, New York), which was recently approved by the US Food and Drug Administration. The intrathecal catheter system consists of a flexible 23-gauge intrathecal cannula over a 27-gauge pencil-point spinal needle. The placement of the intrathecal catheter was successful in all 5 cases; however, paresthesias in 3 cases and postdural puncture headaches in 2 cases complicated the placement and use of the device. Although the unique catheter-over-needle design facilitates the use of smaller-gauge spinal needles for dural puncture and larger-gauge catheters for medication administration, this case series using the Wiley Spinal suggests that paresthesias and postdural puncture headaches may still limit its widespread utilization. Future studies are needed to determine the true incidence of complications and to determine the role of continuous spinal anesthesia in the obstetric population.
View details for DOI 10.1097/AAP.0000000000000367
View details for Web of Science ID 000378154200017
View details for PubMedID 26909488