| Lumbar epidural catheter placement in the presence of low back tattoos: a review of the safety concerns. | |
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MedLine Citation:
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PMID: 20572405 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Current fashion in body art includes low back tattoos of varying designs and colors, a trend that presents unique concerns for anesthesia providers. Does the placement of epidural catheters risk the introduction of tattoo pigment dyes into the epidural space through the process of coring? Are there specific risks associated with tattoo dyes and epidural needle placement? We performed a comprehensive review of the literature using multiple search databases with the intent to form guidelines for practice using a level of evidence taxonomy. The available evidence does not identify any specific risks associated with epidural catheter placement through low back tattoos, although tissue coring with tissue transport to deeper sites has been confirmed. Continued investigation is necessary before comprehensive practice guidelines regarding the practice of placing epidural needles and catheters through lumbar tattoos can be developed. We suggest avoidance of piercing tattoos when performing epidural punctures until there is sound evidence of short-term and long-term safety. |
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Authors:
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Dawn Welliver; Mark Welliver; Tammy Carroll; Peggy James |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: AANA journal Volume: 78 ISSN: 0094-6354 ISO Abbreviation: AANA J Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-24 Completed Date: 2010-07-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0431420 Medline TA: AANA J Country: United States |
Other Details:
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Languages: eng Pagination: 197-201 Citation Subset: N |
Affiliation:
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University of North Florida Brooks College of Health School of Nursing, Nurse Anesthetist Program, Jacksonville, USA. Dawn.Welliver@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Epidural
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adverse effects*,
instrumentation,
methods,
nursing Catheters, Indwelling / adverse effects Evidence-Based Practice Humans Lumbosacral Region Nurse Anesthetists Practice Guidelines as Topic Risk Factors Safety Management / methods* Tattooing* / adverse effects, nursing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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