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Literature DB >> 21390178

Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography.

Se Jin Lee¹, Sang Ho Kim, Sun Young Park, Mun Gyu Kim, Bo Il Jung, Si Young Ok.

Abstract

We report a case of failed epidural anesthesia despite successful identification of the epidural space, loss of resistance technique, hanging drop method and drip infusion. This case evaluated the use of computed tomography to confirm epidural catheter position, which showed the catheter accidentally positioned at the T2 lamina. Because epidural anesthesia can even after successful procedure using standardized techniques such as loss of resistance, we recommend performing the procedure under fluoroscopic guidance to improve success rate and patient safety.

Entities: Chemical Disease Gene Species

Keywords: catheter malposition; epidural anesthesia; epidural space

Year: 2011 PMID： 21390178 PMCID： PMC3049976 DOI： 10.3344/kjp.2011.24.1.44

Source DB: PubMed Journal: Korean J Pain ISSN： 2005-9159

16 in total

1. Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space.

Authors: Timo J Lechner; Maarten G van Wijk; Ad J Maas; Frank R van Dorsten; Ronald A Drost; Chris J Langenberg; Leo J Teunissen; Paul H Cornelissen; Jan van Niekerk
Journal: Anesth Analg Date: 2003-04 Impact factor: 5.108

2. Epidural puncture can be confirmed by the Queckenstedt-test procedure in patients with cervical spinal canal stenosis.

Authors: T Yokoyama; T Ushida; F Yamasaki; S Inoue; K A Sluka
Journal: Acta Anaesthesiol Scand Date: 2007-11-12 Impact factor: 2.105

3. Sonographic estimation of needle depth for cervical epidural blocks.

Authors: Soo Hwan Kim; Kang Hun Lee; Kyung Bong Yoon; Woo Young Park; Duck-Mi Yoon
Journal: Anesth Analg Date: 2008-05 Impact factor: 5.108

4. Pressure-guided method for identification of the epidural space in children.

Authors: T Suwa; S Inomata; S Saito; H Toyooka
Journal: Anesthesiology Date: 1998-08 Impact factor: 7.892

5. Confirmation of epidural catheter placement using nerve stimulation.

Authors: B C Tsui; S Gupta; B Finucane
Journal: Can J Anaesth Date: 1998-07 Impact factor: 5.063

Review 6. Oliguria and fluid overload.

Authors: Thomas Rimmelé; John A Kellum
Journal: Contrib Nephrol Date: 2010-04-20 Impact factor: 1.580

Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography.

1. Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space.

2. Epidural puncture can be confirmed by the Queckenstedt-test procedure in patients with cervical spinal canal stenosis.

3. Sonographic estimation of needle depth for cervical epidural blocks.

4. Pressure-guided method for identification of the epidural space in children.

5. Confirmation of epidural catheter placement using nerve stimulation.

Review 6. Oliguria and fluid overload.

7. Use of imaging agent to determine postoperative indwelling epidural catheter position.

8. Prepuncture ultrasound-measured distance: an accurate reflection of epidural depth in infants and small children.

9. Ultrasound-guided epidural catheter insertion in children.

10. Cervical and high thoracic ligamentum flavum frequently fails to fuse in the midline.

1. Lateral deviation of four types of epidural catheters from the lumbar epidural space into the intervertebral foramen.