Migration of a Thoracic Epidural Catheter into the Intercostal Space via the Intervertebral Foramen

被引:5
作者
Tsui, Ban C. H. [1 ]
Kulkarni, Pradeep
机构
[1] Univ Alberta, Dept Anesthesiol & Pain Med, Edmonton, AB T6G 2G3, Canada
关键词
CAUDAL APPROACH; NERVE-STIMULATION; PEDIATRIC-PATIENTS; INFANTS; CONFIRMATION; ANESTHESIA; ANALGESIA; CHILDREN; LUMBAR; GUIDANCE;
D O I
10.1213/ane.0b013e31818e0ee2
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a documented migration of a thoracic epidural catheter into the thoracic cage in a 5-wk-old with DiGeorge's syndrome and an uncorrected acyanotic Tetralogy of Fallot who underwent laparotomy for malrotation, gastric fundoplication, and gastrostomy tube insertion under combined general and epidural anesthesia. A 20-gauge stimulating catheter was inserted caudally and advanced cephalad to the thoracic level while applying a low electrical current (1-10 mA) to confirm epidural placement at approximately T5-6. Despite good pain control through the third postoperative day, using an epidural infusion of bupivacaine 0.1% at 1-1.2 mL/h, radiography demonstrated catheter migration into the seventh intercostal space.
引用
收藏
页码:371 / 373
页数:3
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