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KMID : 1040020160070010013
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International Journal of Pain
2016 Volume.7 No. 1 p.13 ~ p.17
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Removal of a Sheared Radiolucent Epidural Catheter During Subcutaneous Tunneling Through Localization by Computed Tomography: A Case Report
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Han Jeong-Yeol
Shin Il-Woo
Park Mi-Yeong
Lee Seong-Ho
Kim Min-Gyeong
Kim Yeon-A
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Abstract
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Subcutaneous tunneling is a frequently performed technique for epidural catheter anchoring during continuous epidural analgesia. Shearing of the epidural catheter during this procedure is a rare complication; however, there is always a risk of damage to the needle used for tunneling. Here, we report a difficult case of removing the sheared radiolucent epidural catheter during tunneling, owing to the sheared catheter fragment being concealed beneath the skin. Initially, we attempted to localize the missing fragment by ultrasonography; however, such an effort failed. Subsequently, we performed computed tomography and the broken catheter was clearly visualized and localized two - dimensionally; as a result, the sheared epidural catheter was successfully removed. Based on this case, we discussed the methods for preventing epidural catheter breakage during subcutaneous tunneling and recommended computed tomography as the initial study to evaluate the location of a radiolucent fragmented epidural catheter buried under the skin after shearing.
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KEYWORD
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complication, computed tomography, foreign body removal, radiolucent epidural catheter shearing, subcutaneous tunneling
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Listed journal information
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