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Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural ca...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478830/ https://www.ncbi.nlm.nih.gov/pubmed/26240556 http://dx.doi.org/10.4103/1658-354X.154740 |
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author | Zanjani, Amir Poya Mirzashahi, Babak Emami, Ali Hassani, Motahareh |
author_facet | Zanjani, Amir Poya Mirzashahi, Babak Emami, Ali Hassani, Motahareh |
author_sort | Zanjani, Amir Poya |
collection | PubMed |
description | Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural catheter was entrapped, we performed all recommended noninvasive maneuvers to release the catheter, but no progress was achieved. Therefore, after obtaining informed consent, we induced anesthesia and changed her to a prone position to explore her back. The intact catheter was removed easily in this stage. The authors believe, in this process, it would have been better if they had tried pulling the catheter in a prone position as a preliminary step. Furthermore, pulling the catheter in a prone position after injecting a muscle relaxant appeared to be more effective and saved the patient from the scheduled surgery. |
format | Online Article Text |
id | pubmed-4478830 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-44788302015-08-03 Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? Zanjani, Amir Poya Mirzashahi, Babak Emami, Ali Hassani, Motahareh Saudi J Anaesth Case Report Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural catheter was entrapped, we performed all recommended noninvasive maneuvers to release the catheter, but no progress was achieved. Therefore, after obtaining informed consent, we induced anesthesia and changed her to a prone position to explore her back. The intact catheter was removed easily in this stage. The authors believe, in this process, it would have been better if they had tried pulling the catheter in a prone position as a preliminary step. Furthermore, pulling the catheter in a prone position after injecting a muscle relaxant appeared to be more effective and saved the patient from the scheduled surgery. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4478830/ /pubmed/26240556 http://dx.doi.org/10.4103/1658-354X.154740 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Zanjani, Amir Poya Mirzashahi, Babak Emami, Ali Hassani, Motahareh Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title | Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title_full | Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title_fullStr | Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title_full_unstemmed | Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title_short | Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
title_sort | muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478830/ https://www.ncbi.nlm.nih.gov/pubmed/26240556 http://dx.doi.org/10.4103/1658-354X.154740 |
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