A Case Report of Caudal Migration of a Lumbar Epidural Catheter Confirmed by Doppler Ultrasound: Ultrasound to the Rescue!

被引：0

作者：

Chaitanya, Krishna U. ^{[1
]}

Dhananjay, D. N. ^{[1
]}

Kumar, Mahendra K. ^{[1
]}

Vinaik, Tulika ^{[1
]}

机构：

[1] Sakra World Hosp, Dept Anaesthesiol, Bengaluru, India

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 03期

关键词：

postoperative analgesia; colour flow doppler; ultrasound; catheter migration; epidural failure; ANESTHESIA; ANALGESIA; PLACEMENT; LOCATION;

D O I：

10.7759/cureus.55879

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Combined spinal -epidural anaesthesia is an excellent technique for providing intraoperative and postoperative analgesia in patients undergoing total knee arthroplasty. Epidural catheters threaded through a Tuohy needle with a cephalad needle bevel orientation follow a winding pattern within the epidural space. Caudal or downward migration of an epidural catheter may lead to unsatisfactory anaesthesia and epidural failure. Colour flow Doppler sonography is emerging as an effective technique to determine the epidural catheter tip position. We report an interesting case of caudal migration of a lumbar epidural catheter confirmed by colour flow Doppler ultrasound.

引用

页数：5

共 13 条

[1] Selective Epidurography for the Assessment of Epidural Catheter Placement After Esophagectomy [J].

Boshier, Piers R. ;

Woodward, Crystal ;

Nikravan, Sara ;

Neal, Joseph M. ;

Warren, Daniel ;

Low, Donald E. .

ANNALS OF THORACIC SURGERY, 2019, 108 (03) :905-911

[2]

BREEN TW, 1993, ANESTH ANALG, V77, P919

[3] Epidural Catheter Migration: A Case Report of a CT Scan Examination [J].

Eloy, Andre ;

Tinoco, Joana ;

Regufe, Rita ;

Cortez, Jorge ;

Cordeiro, Lisbete .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (10)

[4]

Elsharkawy H, 2017, CAN J ANESTH, V64, P489, DOI 10.1007/s12630-017-0819-y

[5] Confirmation of location of epidural catheters by epidural pressure waveform and computed tomography cathetergram [J].

Ghia, JN ;

Arora, SK ;

Castillo, M ;

Mukherji, SK .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2001, 26 (04) :337-341

[6] Failed epidural: causes and management [J].

Hermanides, J. ;

Hollmann, M. W. ;

Stevens, M. F. ;

Lirk, P. .

BRITISH JOURNAL OF ANAESTHESIA, 2012, 109 (02) :144-154

[7] An analysis of postoperative epidural analgesia failure by computed tomography epidurography [J].

Motamed, Cyrus ;

Farhat, Fayezi ;

Remerand, Francis ;

Stephanazzi, Jean ;

Laplanche, Agnes ;

Jayr, Christian .

ANESTHESIA AND ANALGESIA, 2006, 103 (04) :1026-1032

[8] Incidence and characteristics of failures in obstetric neuraxial analgesia and anesthesia: A retrospective analysis of 19,259 deliveries [J].

Pan, PH ;

Bogard, TD ;

Owen, MD .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2004, 13 (04) :227-233

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

Rapp, HJ ;

Folger, A ;

Grau, T .

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

[10] RECORDINGS OF, AND AN ANATOMICAL EXPLANATION FOR, FALSE POSITIVE LOSS OF RESISTANCE DURING LUMBAR EXTRADURAL ANALGESIA [J].

SHARROCK, NE .

BRITISH JOURNAL OF ANAESTHESIA, 1979, 51 (03) :253-258

← 1 2 →