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- W4245463562 abstract "To the Editor: We are pleased to read the article by Hayatsu et al. (1) in which they described how electrical stimulation could be used to verify proper placement of an epidural catheter in the epidural space. Evidently, the authors were not aware of our earlier observations on the same topic (2–10). In those clinical reports, we described the successful use of electrical epidural stimulation to confirm epidural catheter placement in the epidural space in both adult and pediatric patients. In our most recent article (3), we demonstrated the practicality of applying this test to guide the placement of a thoracic epidural catheter using the caudal approach in pediatric patients. In that article, we provided a simplified guide to interpret motor responses from electrical stimulation in the event of malplacement of epidural catheters (for instance, subarachnoid, subdural, or intravascular). From a technical point of view, Hayatsu et al. (1) reported a method using bipolar electrical stimulation that required a specialized catheter, which may limit its application. However, their specialized catheter can provide many other functions, including monitoring of spinal cord potentials, measurement of epidural pressure, and spinal cord stimulation. On the other hand, we described a technique using monopolar electrical stimulation that can be performed with one of the commonly available epidural catheters, which can be readily applied in routine practice. Ban C.H. Tsui, MSc, MD, FRCP(C) Brendan Finucane, MB MS, FRCPC (C)" @default.
- W4245463562 created "2022-05-12" @default.
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- W4245463562 date "2002-06-01" @default.
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- W4245463562 title "Verifying Accurate Placement of an Epidural Catheter Tip Using Electrical Stimulation" @default.
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- W4245463562 doi "https://doi.org/10.1213/00000539-200206000-00063" @default.
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