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KMID : 0356920080550040494
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Korean Journal of Anesthesiology
2008 Volume.55 No. 4 p.494 ~ p.497
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Accidental intrapleural positioning of an epidural catheter in a patient undergoing a right pneumonectomy - A case report -
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Kim Ji-Yeon
Kim Jeong-Won
Choi Won-Joo
Kim Kyoung-Tea
Lee Sang-Ill
Park Jang-Su
Jeong Chae-In
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Abstract
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Thoracic epidural analgesia is a common method of pain relief for thoracic and upper abdominal surgery. Misplacement of the epidural catheter is one of the complications associated with epidural analgesia. A 60-year-old man was scheduled for a right pneumonectomy under general anesthesia. Before inducing general anesthesia, the patient was placed in the left lateral decubitus position. A 18-gauge Tuohy needle was inserted into the T6-T7 level using the left paramedian approach 1.5 cm lateral to the midline with a loss of resistance at 7 cm, and uneventful catheter advancement was performed. Approximately 30 minutes after commencing surgery, the surgeon found the epidural catheter in the right pleural cavity. We report a case of the accidental intrapleural positioning of a thoracic epidural catheter.
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KEYWORD
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complication, intrapleural positioning, loss of resistance, thoracic epidural catheter
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