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  • 标题:Accidental intrapleural positioning of an epidural catheter in a patient undergoing a right pneumonectomy - A case report -
  • 本地全文:下载
  • 作者:Kim, Ji Yeon ; Park, Jang Su ; Jeong, Chae-In
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2008
  • 卷号:55
  • 期号:4
  • 页码:494-497
  • DOI:10.4097/kjae.2008.55.4.494
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    Thoracic epidural analgesia is a common method of pain relief for thoracic and upper abdominal surgery. Misplacement of the epidural catheter is one of the complications associated with epidural analgesia. A 60-year-old man was scheduled for a right pneumonectomy under general anesthesia. Before inducing general anesthesia, the patient was placed in the left lateral decubitus position. A 18-gauge Tuohy needle was inserted into the T6-T7 level using the left paramedian approach 1.5 cm lateral to the midline with a loss of resistance at 7 cm, and uneventful catheter advancement was performed. Approximately 30 minutes after commencing surgery, the surgeon found the epidural catheter in the right pleural cavity. We report a case of the accidental intrapleural positioning of a thoracic epidural catheter.

  • 关键词:complication; intrapleural positioning; loss of resistance; thoracic epidural catheter
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