|
KMID : 0356919950280020295
|
|
Korean Journal of Anesthesiology
1995 Volume.28 No. 2 p.295 ~ p.301
|
|
|
Misplacement of Epicural Catheter Confirmed by Epidurography
|
|
|
|
|
Abstract
|
|
|
Epidural anesthesia is a reliable technique of conduction anesthesia that is not temporally limited and provides profound relaxation.
Epidural anesthesia, even in skilled hands, has a failure rate as high as 8%. Technical difficulties may result from abnormalities of the vertebral column and bands or sheaths within the epidural space. Furthermore, kinking, knots, and misplaced
epidural catheters may cause incomplete or absent anesthesia. A flexible cannula passed into the epidural space cannot be relied upon to travel for any distance according to the direction of the evel of the Tuohy needle. Only about one in four
cannulas
pursues a straight upward course within the epidural space.
We describe accidental pass out of epidural space through an intervertebral foramen.
A 72-years old man was scheduled of open prostatectomy under epidural anesthesia. The epidural catheter was placed in standard fashion without difficulty or indication of catheter malposition but epidural anesthesia was failed. Operation was
taken
under
general anesthesia. At the end of the operation epidurography of the lumbar spine was taken. The epidurography showed that the catheter passed out of epidural space through an intervetebral foramen.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|