Korean J Anesthesiol Search

CLOSE


Korean Journal of Anesthesiology 1995;28(2):295-301.
DOI: https://doi.org/10.4097/kjae.1995.28.2.295   
Misplacement of Epidural Catheter Confirmed by Epidurography.
Jin Woo Shin, In Cheol Choi, Cheong Lee
Department of Anesthesiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
Abstract
Epidural anesthesia is a reliable technique of conduction anesthesia that is not temporally limited and provides profound relaxation. Epidural anesthesia, even in skilled hands, has a failure rate as high as 8%. Technical difficulties may result from abnormalities of the vertebral column and bands or sheaths within the epidural space. Furthermore, kinking, knots, and misplaced epidural catheters may cause incomplete or absent anesthesia. A flexible cannula passed into the epidural space cannot be relied upon to travel for any distance according to the direction of the bevel of the Tuohy needle. Only about one in four cannulas pursues a straight upward course within the epidural space. We describe accidental pass out of epidural space through an intervertebral foramen. A 72-years old man was scheduled for open prostatectomy under epidural anesthesia. The epidural catheter was placed in standard fashion without difficulty or indication of catheter rnalposition but epidural anesthesia was failed. Operation was taken under general anesthesia. At the end of the operation epidurography of the lumbar spine was taken. The epidurography showed that the catheter passed out of epidural space through an intervetebral foramen.
Key Words: Epidural anesthesia; Catheter; Intervertebral foramen


ABOUT
ARTICLE CATEGORY

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
(서울특별시 마포구 마포대로 109 롯데캐슬 프레지던트 101동 3503호)
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                
Business Name: Korean Society of Anesthesiologists (대한마취통증의학회)
Business Registration: 106-82-07194
Representative: Jun Heum Yon (연준흠)

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next