Inadvertent knotting of a thoracic epidural catheter

Citation
St. Hsin et al., Inadvertent knotting of a thoracic epidural catheter, ACT ANAE SC, 45(2), 2001, pp. 255-257
Citations number
20
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
ACTA ANAESTHESIOLOGICA SCANDINAVICA
ISSN journal
00015172 → ACNP
Volume
45
Issue
2
Year of publication
2001
Pages
255 - 257
Database
ISI
SICI code
0001-5172(200102)45:2<255:IKOATE>2.0.ZU;2-R
Abstract
We report a case of corrosive injury of upper gastrointestinal and respirat ory tracts scheduled for feeding jejunostomy under thoracic epidural anesth esia. An epidural catheter was inserted at the T-8-T-9 intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral directio n. Resistance was noticed during attempts to inject the local anesthetic. A s resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the pa tient of the associated risks, the catheter was retrieved successfully by g entle and steady pulling. A tight double-knot of catheter was found. No neu rological sequelae to the procedure were noticed.