KMID : 1155520130080030184
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Anesthesia and Pain Medicine 2013 Volume.8 No. 3 p.184 ~ p.186
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Unsuspected intravascular migration of a thoracic epidural catheter in a thoracotomy patient -A case report-
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Nam Ka-Ram
Seo Jung-Hwa Bahk Jae-Hyon
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Abstract
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Thoracic epidural analgesia is the most effective method of managing post-thoracotomy pain. However, the catheter may be misplaced into the intrapleural, intercostal, subarachnoid, or intravascular space. Intravascular misplacement of a catheter can be detected by aspiration of blood or administration of a test dose of local anesthetic; however, these methods may result in a false-negative response. Moreover, a catheter placed in the epidural space may migrate into a blood vessel during the intraoperative period. Thus, the location of the catheter tip should always be determined before local anesthetic is administered. We report a case of intraoperative intravascular migration of a thoracic epidural catheter in a 32-year-old male who underwent left thoracotomy.
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KEYWORD
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Blood vessels, Catheters, Epidural analgesia, Intraoperative complications, Punctures
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