Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!

The intravascular migration of a multihole epidural catheter can have catastrophic consequences. The consequences can be even more exaggerated if the catheter is placed at the cervical or high thoracic region. We suggest a cautious approach before injection of a bolus of local anaesthetic. Whenever...

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Autores principales: Diwan, Sandeep, Nair, Abhijit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Anaesthesiology and Intensive Care Society 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8098736/
https://www.ncbi.nlm.nih.gov/pubmed/33997848
http://dx.doi.org/10.5152/TJAR.2021.119
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author Diwan, Sandeep
Nair, Abhijit
author_facet Diwan, Sandeep
Nair, Abhijit
author_sort Diwan, Sandeep
collection PubMed
description The intravascular migration of a multihole epidural catheter can have catastrophic consequences. The consequences can be even more exaggerated if the catheter is placed at the cervical or high thoracic region. We suggest a cautious approach before injection of a bolus of local anaesthetic. Whenever in doubt, the exact position of the catheter should be checked using fluoroscopy and contrast injection. In this case report, we have described our experience with an inadvertently placed intravascular cervical epidural catheter.
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spelling pubmed-80987362021-05-13 Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster! Diwan, Sandeep Nair, Abhijit Turk J Anaesthesiol Reanim Case Report The intravascular migration of a multihole epidural catheter can have catastrophic consequences. The consequences can be even more exaggerated if the catheter is placed at the cervical or high thoracic region. We suggest a cautious approach before injection of a bolus of local anaesthetic. Whenever in doubt, the exact position of the catheter should be checked using fluoroscopy and contrast injection. In this case report, we have described our experience with an inadvertently placed intravascular cervical epidural catheter. Turkish Anaesthesiology and Intensive Care Society 2021-04 2021-04-01 /pmc/articles/PMC8098736/ /pubmed/33997848 http://dx.doi.org/10.5152/TJAR.2021.119 Text en © Copyright 2021 by Turkish Anaesthesiology and Intensive Care Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Case Report
Diwan, Sandeep
Nair, Abhijit
Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title_full Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title_fullStr Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title_full_unstemmed Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title_short Prompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
title_sort prompt detection of intravascular migration of cervical epidural catheter in superior vena cava avoids impending disaster!
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8098736/
https://www.ncbi.nlm.nih.gov/pubmed/33997848
http://dx.doi.org/10.5152/TJAR.2021.119
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