Article Text

Download PDFPDF
Technique for Placement of Silastic® Continuous Epidural Conduit
  1. Dennis W. Coombs, M.D. and
  2. Randy F. Rizor, M.D.
  1. From the Section of Anesthesia, Department of Surgery, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire
  1. Address reprint requests to Dr. Coombs: Department of Surgery (Anes.), Dartmouth-Hitchcock Medical Center, Hanover, NH 03755.


Recent reports have documented the analgesic potency of epidurally administered morphine in relieving both acute and chronic pain states. This approach is limited by the necessity for repeated injections and the risk of epidural infection when the commonly used commercial continuous percutaneous epidural catheters are implanted. The authors herein describe a technique for percutaneous epidural placement of a highly flexible Silastic® catheter with subcutaneous tunnelling away from the epidural site to reduce the infection risk. This technique may provide continuous epidural access percutaneously. Alternatively, continuous analgesia might be accomplished by a subcutaneously implanted pump attached to this epidural conduit.

  • Epidural
  • continuous
  • narcotics
  • catheters

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.