|
KMID : 1155520130080030184
|
|
Anesthesia and Pain Medicine
2013 Volume.8 No. 3 p.184 ~ p.186
|
|
|
Unsuspected intravascular migration of a thoracic epidural catheter in a thoracotomy patient -A case report-
|
|
Nam Ka-Ram
Seo Jung-Hwa
Bahk Jae-Hyon
|
|
|
Abstract
|
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Blood vessels, Catheters, Epidural analgesia, Intraoperative complications, Punctures
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|