Pneumothorax associated with epidural anesthesia

被引:9
作者
Miura K. [1 ]
Tomiyasu S. [1 ]
Cho S. [1 ]
Sakai T. [1 ]
Sumikawa K. [1 ]
机构
[1] Division of Anesthesiology, Nagasaki Univ. Grad. Sch. Biomed/Sci, Nagasaki 852-8588
关键词
Epidural anesthesia; Pneumothorax; Technique-related complication;
D O I
10.1007/s00540-004-0226-8
中图分类号
学科分类号
摘要
In summary, we encountered a case of ipsilateral pneumothorax associated with the conventional technique of thoracic epidural anesthesia. To reduce the risk of this complication, the thoracic epidural approach should be conducted with the insertion point of the needle near the midline and a small angle toward the midline, while meticulous attention is given to maintain an adequate patient position. © JSA 2004.
引用
收藏
页码:138 / 140
页数:2
相关论文
共 8 条
  • [1] Brown D.L., Spinal, epidural, and caudal anesthesia, Anesthesia, pp. 1491-1519, (2000)
  • [2] Iida Y., Kashimoto S., Matsukawa T., Kumazawa T., A hemothorax after thoracic epidural anesthesia, J. Clin. Anesth., 6, pp. 505-507, (1994)
  • [3] Koch J., Nielsen J.U., Rare, misplacement of epidural catheters, Anesthesiology, 65, pp. 556-557, (1986)
  • [4] Furuya A., Matsukawa T., Ozaki M., Kumazawa T., Interpleural misplacement of an epidural catheter, J. Clin. Anesth., 10, pp. 425-426, (1998)
  • [5] Ramamurthy S., Thoracic epidural nerve block, Interventional Pain Management, pp. 390-395, (2001)
  • [6] Bernards C.M., Epidural and spinal anesthesia, Clinical Anesthesia, pp. 689-713, (2001)
  • [7] Oku S., Nishimoto N., A case of epidural catheter accidentally inserted along the left 11th intercostal nerve, Masui (Jpn J Anesthesiol), 26, pp. 190-193, (1977)
  • [8] Brismar B., Pettersson N., Tokics L., Strandberg A., Hedenstierne G., Postoperative analgesia with intrapleural administration of bupivacaine-adrenaline, Acta Anaesthesiol. Scand., 31, pp. 515-520, (1987)