Inadvertent knotting of a thoracic epidural catheter

S. T. Hsin; F. C. Chang; M. Y. Tsou; W. W. Liao; T. Y. Lee; P. W. Lui; H. N. Luk

doi:10.1034/j.1399-6576.2001.450219.x

Inadvertent knotting of a thoracic epidural catheter

S. T. Hsin
, F. C. Chang
, M. Y. Tsou
, W. W. Liao
, T. Y. Lee
, P. W. Lui
, H. N. Luk^*

^*Corresponding author for this work

Veterans General Hospital-Taipei

Research output: Contribution to journal › Journal Article › peer-review

27 Scopus citations

Abstract

We report a case of corrosive injury of upper gastrointestinal and respiratory tracts scheduled for feeding jejunostomy under thoracic epidural anesthesia. An epidural catheter was inserted at the T₈-T₉ intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral direction. Resistance was noticed during attempts to inject the local anesthetic. As resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the patient of the associated risks, the catheter was retrieved successfully by gentle and steady pulling. A tight double-knot of catheter was found. No neurological sequelae to the procedure were noticed.

Original language	English
Pages (from-to)	255-257
Number of pages	3
Journal	Acta Anaesthesiologica Scandinavica
Volume	45
Issue number	2
DOIs	https://doi.org/10.1034/j.1399-6576.2001.450219.x
State	Published - 2001
Externally published	Yes

Keywords

Epidural catheter
Knotting
Thoracic epidural anesthesia

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10.1034/j.1399-6576.2001.450219.x

Cite this

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title = "Inadvertent knotting of a thoracic epidural catheter",

abstract = "We report a case of corrosive injury of upper gastrointestinal and respiratory tracts scheduled for feeding jejunostomy under thoracic epidural anesthesia. An epidural catheter was inserted at the T8-T9 intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral direction. Resistance was noticed during attempts to inject the local anesthetic. As resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the patient of the associated risks, the catheter was retrieved successfully by gentle and steady pulling. A tight double-knot of catheter was found. No neurological sequelae to the procedure were noticed.",

keywords = "Epidural catheter, Knotting, Thoracic epidural anesthesia",

author = "Hsin, \{S. T.\} and Chang, \{F. C.\} and Tsou, \{M. Y.\} and Liao, \{W. W.\} and Lee, \{T. Y.\} and Lui, \{P. W.\} and Luk, \{H. N.\}",

year = "2001",

doi = "10.1034/j.1399-6576.2001.450219.x",

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T1 - Inadvertent knotting of a thoracic epidural catheter

AU - Hsin, S. T.

AU - Chang, F. C.

AU - Tsou, M. Y.

AU - Liao, W. W.

AU - Lee, T. Y.

AU - Lui, P. W.

AU - Luk, H. N.

PY - 2001

Y1 - 2001

N2 - We report a case of corrosive injury of upper gastrointestinal and respiratory tracts scheduled for feeding jejunostomy under thoracic epidural anesthesia. An epidural catheter was inserted at the T8-T9 intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral direction. Resistance was noticed during attempts to inject the local anesthetic. As resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the patient of the associated risks, the catheter was retrieved successfully by gentle and steady pulling. A tight double-knot of catheter was found. No neurological sequelae to the procedure were noticed.

AB - We report a case of corrosive injury of upper gastrointestinal and respiratory tracts scheduled for feeding jejunostomy under thoracic epidural anesthesia. An epidural catheter was inserted at the T8-T9 intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral direction. Resistance was noticed during attempts to inject the local anesthetic. As resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the patient of the associated risks, the catheter was retrieved successfully by gentle and steady pulling. A tight double-knot of catheter was found. No neurological sequelae to the procedure were noticed.

KW - Epidural catheter

KW - Knotting

KW - Thoracic epidural anesthesia

UR - https://www.scopus.com/pages/publications/0035150618

U2 - 10.1034/j.1399-6576.2001.450219.x

DO - 10.1034/j.1399-6576.2001.450219.x

M3 - 文章

C2 - 11167174

AN - SCOPUS:0035150618

SN - 0001-5172

VL - 45

SP - 255

EP - 257

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

IS - 2

ER -

Inadvertent knotting of a thoracic epidural catheter

Abstract

Keywords

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