TITLE:
Combined Spinal Epidural Catheters for Epidural Cooling, Cerebrospinal Fluid Aspiration and Spinal Intralipid Infusion for Treatment of Spinal and Brain Injuries, Diseases and Protection
AUTHORS:
Joseph Eldor
KEYWORDS:
Spinal Catheter; Epidural Catheter; Epidural Cooling; Spinal Intralipid; Spinal Injury; Brain Injury; Spinal Disease; Brain Disease; Spinal Protection; Brain Protection
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.4 No.1,
January
23,
2014
ABSTRACT:
A new proposal for spinal cord and brain treatment and protection due to
injuries and diseases is made herein. It is composed of
two 20G nylon catheters with 6 lateral holes arranged circumferentially within 3 cm from the tip and a closed
end. One catheter is inserted into the
epidural space and the other catheter is inserted into the spinal space in two
different lumbar interspaces using an 18G Tuohy needle 90 mm. The epidural catheter is used for cooled saline injection and infusion. The spinal catheter is used for Intralipid spinal injections and CSF
aspiration. The proposal is based on the current
studies on spinal cord cooling and CSF aspiration as well as on the Intralipid
resuscitation properties and lipid brain protection. A study is needed to evaluate the clinical value of this combined
approach.