Vogelsang H, Lang A, Cevik B, et al. - Although rare, side‐effects and complications following thoracic epidural analgesia are potentially devastating. Nearly 5.5% incidence of catheter‐related infection has been reported. For reducing the incidence of infections and dislocations, tunnelling is often recommended. Researchers here conducted a retrospective, monocentric analysis of their acute pain service database in order to determine the incidence of catheter‐related infections (primary endpoint) and effect of the used disinfectant (secondary endpoint). The standard operating protocol incorporated the hygiene measures of the German Society of Anaesthesiology since 2009. Elective major abdominal surgery with thoracic epidural catheterization was performed in a total of 2,755 patients. Among these cases, a low incidence of catheter‐related infections was noted and with only mild signs of infection. Non‐tunnelling could be an alternative to tunnelling, particularly when following hygiene protocols, and the duration of catheter use is short. They emphasize the necessity for a comprehensive database and regular examinations by trained staff for early identification of abnormalities and immediate removal of the catheter, if required.