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Epidural Catheter Malposition in a Failed Epidural Anesthesia Confirmed by Computed Tomography

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 accidentall...

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Detalles Bibliográficos
Autores principales: Lee, Se Jin, Kim, Sang Ho, Park, Sun Young, Kim, Mun Gyu, Jung, Bo Il, Ok, Si Young
Formato: Texto
Lenguaje:English
Publicado: The Korean Pain Society 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3049976/
https://www.ncbi.nlm.nih.gov/pubmed/21390178
http://dx.doi.org/10.3344/kjp.2011.24.1.44
Descripción
Sumario: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.