Epidural Catheter Malposition in a Failed Epidural Anesthesia Confirmed by Computed Tomography

被引：4

作者：

Lee, Se Jin ^{[1
]}

Kim, Sang Ho ^{[1
]}

Park, Sun Young ^{[1
]}

Kim, Mun Gyu ^{[1
]}

Il Jung, Bo ^{[1
]}

Ok, Si Young ^{[1
]}

机构：

[1] Soonchunhyang Univ, Coll Med, Dept Anesthesiol & Pain Med, 22 Daesagwan Gil, Seoul 140743, South Korea

来源：

KOREAN JOURNAL OF PAIN | 2011年 / 24卷 / 01期

关键词：

catheter malposition; epidural anesthesia; epidural space;

D O I：

10.3344/kjp.2011.24.1.44

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a case of failed epidural anesthesia despite successful identification of the epidural space, loss of resistance technique, hanging drop method and drip infusion. This case evaluated the use of computed tomography to confirm epidural catheter position, which showed the catheter accidentally positioned at the T2 lamina. Because epidural anesthesia can even after successful procedure using standardized techniques such as loss of resistance, we recommend performing the procedure under fluoroscopic guidance to improve success rate and patient safety.

引用

收藏

页码：44 / 47

页数：4

相关论文

共 17 条

[1] Pseudo loss of resistance in epidural space localization [J].

Gupta, Babita ;

Sharma, Sarita ;

D'souza, Nita ;

Kaur, Manpreet .

SAUDI JOURNAL OF ANAESTHESIA, 2010, 4 (02) :117-+

[2] A change in resistance? A survey of epidural practice amongst obstetric anaesthetists [J].

Howell, TK ;

Prosser, DP ;

Harmer, M .

ANAESTHESIA, 1998, 53 (03) :238-243

[3] Prepuncture ultrasound-measured distance: An accurate reflection of epidural depth in infants and small children [J].

Kil, Hae K. ;

Cho, Jang E. ;

Kim, Won O. ;

Koo, Bon N. ;

Han, Sang W. ;

Kim, Ji Y. .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2007, 32 (02) :102-106

[4] Sonographic estimation of needle depth for cervical epidural blocks [J].

Kim, Soo Hwan ;

Lee, Kang Hun ;

Yoon, Kyung Bong ;

Park, Woo Young ;

Yoon, Duck-Mi .

ANESTHESIA AND ANALGESIA, 2008, 106 (05) :1542-1547

[5] Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space [J].

Lechner, TJ ;

van Wijk, MG ;

Maas, AJ ;

van Dorsten, FR ;

Drost, RA ;

Langenberg, CJ ;

Teunissen, LJ ;

Cornelissen, PH ;

van Niekerk, J .

ANESTHESIA AND ANALGESIA, 2003, 96 (04) :1183-1187

[6]

Lee YB, 1999, KOREAN J ANESTHESIOL, V37, P608

[7] Cervical and high thoracic ligamentum flavum frequently fails to fuse in the midline [J].

Lirk, P ;

Kolbitsch, C ;

Putz, G ;

Colvin, J ;

Colvin, HP ;

Lorenz, I ;

Keller, C ;

Kirchmair, L ;

Rieder, J ;

Moriggl, B .

ANESTHESIOLOGY, 2003, 99 (06) :1387-1390

[8]

Matsuda K., 1977, IDENTIFICATION EPIDU, V26, P956

[9] Ultrasound-guided epidural catheter insertion in children [J].

Rapp, HJ ;

Folger, A ;

Grau, T .

ANESTHESIA AND ANALGESIA, 2005, 101 (02) :333-339

[10]

Rimmele T, 2010, CONTRIB NEPHROL, V164, P39, DOI 10.1159/000313719