논문KCI 등재
Epidural Catheter Malposition in a Failed Epidural Anesthesia Confirmed by Computed Tomography
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
Abstract
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.
참고문헌 (18)
- Howell TK, "A change in resistance? A survey of epidural practice amongst obstetric anaesthetists", Anaesthesia, 5, pp.238~243 (1998)
- Kil HK, "Prepuncture Ultrasound-Measured Distance: An Accurate Reflection of Epidural Depth in Infants and Small Children", REGIONAL ANESTHESIA AND PAIN MEDICINE, 32(2), pp.102~106 (2007)
- Rapp HJ, "Ultrasound-guided epidural catheter insertion in children", Anesth Analg, 101, pp.333~339 (2005)
- Kim SH, "Sonographic estimation of needle depth for cervical epidural blocks", ANESTHESIA AND ANALGESIA, 106, pp.1542~1547 (2008), LIPPINCOTT WILLIAMS & WILKINS
- Suwa T, "Pressure-guided method for identification of the epidural space in children", Anesthesiology, 89, pp.546~548 (1998)
- Matsuda K, "Identification of the epidural space using a drip infusion set", Masui, 26, pp.956~957 (1997)
- Yamashita M, "Identification of the epidural space in children. The application of a micro-drip infusion set", Anaesthesia, 46, pp.872~874 (1991)
- Yokoyama T, "Epidural puncture can be confirmed by the Queckenstedt-test procedure in patients with cervical spinal canal stenosis", Acta Anaesthesiol Scand, 52, pp.256~261 (2008)
- Lechner TJ, "Clinical results with the acoustic puncture assist device, a new acoustic device to identify the epidural space", Anesth Analg, 96, pp.1183~1187 (2003)
- Tsui BC, "Confirmation of epidural catheter placement using nerve stimulation", Can J Anaesth, 45, pp.640~644 (1998)
- Lee YB, "On the accuracy of cervicothoracic vertebral level determination by palpation of spinous processes", Korean J Anesthesiol, 37, pp.608~612 (1999)
- Tetsuya Uchino, "Use of Imaging Agent to Determine Postoperative Indwelling Epidural Catheter Position", The Korean Journal of Pain, 23(4), pp.247~253 (2010), 대한통증학회
- Rissanen PM, "The surgical anatomy and pathology of the supraspinous and interspinous ligaments of the lumbar spine with special reference to ligament ruptures", Acta Orthop Scand Suppl, 46, pp.1~100 (1960)
- Sharrock NE, "Recordings of, and an anatomical explanation for, false positive loss of resistance during lumbar extradural analgesia", Br J Anaesth, 51, pp.253~258 (1979)
- Gupta B, "Pseudo loss of resistance in epidural space localization", Saudi J Anaesth, 4, pp.117~118 (2010)
- Lirk P, "Cervical and high thoracic ligamentum flavum frequently fails to fuse in the midline", Anesthesiology, 99, pp.1387~1390 (2003)
- Yamashita M, "Identification of the epidural space in children. The application of a micro-drip infusion set", Anaesthesia, 46, pp.872~874 (1991)
- Rimmelé T, "Oliguria and fluid overload", Contrib Nephrol, 164, pp.39~45 (2010)
관련 논문AI추천
Use of Imaging Agent to Determine Postoperative Indwelling Epidural Catheter PositionAkio Mizutani, Hideo Iwasaka, Junji Takatani, Kyosuke Kudo, Masahiro Miura, Satoshi Hagiwara, Takayuki Noguchi, Tetsuya Uchino대한통증학회 · The Korean Journal of Pain2010 · 제23권 제4호The Aspiration of Injected Air via an Epidural Catheter as an Indicator for Appropriate Placement of the Catheter in the Epidural Space김영재, 김영환, 문성호, 박대식, 신치만, 이근무, 이상은, 이정한, 임세훈, 정순호, 조광래, 최영균대한통증학회 · The Korean Journal of Pain2009 · 제22권 제2호An Alternative Approach to Needle Placement in Cervicothoracic Epidural InjectionsJung Gil Leem, Seung Yong Park, Sung Hwan Jung, Won Uk Koh, Young Ki Kim대한통증학회 · The Korean Journal of Pain2012 · 제25권 제3호Pneumocephalus Developed during Epidural Anesthesia for Combined Spinal-Epidural Anesthesia김윤진, 김종학, 백희정, 전주현대한통증학회 · The Korean Journal of Pain2009 · 제22권 제2호Ultrasonographic Measurement of the Ligamentum Flavum Depth; Is It a Reliable Method to Distinguish True and False Loss of Resistance?이원형, Hyun Joong Kim, Michael Haejin Pak, Sang Young So, Young Kwon Ko대한통증학회 · The Korean Journal of Pain2012 · 제25권 제2호Analysis of thoracic epidurography and correlating factors affecting the extent of contrast medium spreadJi Hee Hong, Jung Hue Oh, Ki Bum Park대한통증학회 · The Korean Journal of Pain2016 · 제29권 제4호
이 간행물의 다른 논문 (9건)
Application of Botulinum Toxin in Pain Management심우석pp. 1-6The Effects of Intraoperative Adenosine Infusion on Acute Opioid Tolerance and Opioid Induced Hyperalgesia Induced by Remifentanil in Adult Patients Undergoing TonsillectomyJu Hwan Lee, 이철, Yoon Kwang Song, Soo Mi Happ. 7-12Daily Functioning in Chronic Pain: Study of Structural Relations with Posttraumatic Stress Disorder Symptoms, Pain Intensity, and Pain AvoidanceLance M McCracken, 이장한, 문동언, 조성근, Elaine M Heibypp. 13-21A Randomised, Placebo-controlled Trial of the Effects of Preoperative Pregabalin on Pain Intensity and Opioid Consumption following Lumbar DiscectomyDominic A. Hegarty, George D. Shortenpp. 22-30Comparison of Postoperative Analgesic Efficacy of Caudal Block versus Dorsal Penile Nerve Block with Levobupivacaine for Circumcision in ChildrenSerbülent Gökhan Beyazpp. 31-35