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Suture Catheter for Rescue Perineural Catheter Placement When Unable to Position a Conventional Through-the-Needle Catheter: A Case Report

Finneran, John J. IV MD; Gabriel, Rodney A. MD, MAS (Clinical Research); Swisher, Matthew W. MD, MS; Said, Engy MD; Doan, Christina N. MD; Hamilton, Jeffrey R. MD; Ilfeld, Brian M. MD, MS (Clinical Investigation)

doi: 10.1213/XAA.0000000000001075
Case Reports

The main purported benefit of suture-style catheters is the ability to secure the catheter at 2 sites, thereby decreasing the likelihood of catheter dislodgement. An additional benefit is the ability to precisely control the placement of the orifice to infuse local anesthetic. Here we present the case of a patient undergoing open ankle surgery for whom placement of a conventional through-the-needle popliteal sciatic perineural catheter for postoperative analgesia was attempted. Despite multiple attempts, the catheter repeatedly advanced beyond the nerve. Placement of a suture catheter was then attempted, and the catheter was successfully placed on the first attempt.

From the Department of Anesthesiology, University of California, San Diego, San Diego, California.

Accepted for publication July 1, 2019.

Funding: The suture catheter used in this study was provided by Ferrosan Medical Devices.

Conflicts of Interest: See Disclosures at the end of the article.

Address correspondence to John J. Finneran IV, MD, Department of Anesthesiology, University of California, San Diego, 200 W Arbor Dr MC 8770, San Diego, CA 92103. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
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