Inadvertent knotting of a thoracic epidural catheter

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....

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Published inActa anaesthesiologica Scandinavica Vol. 45; no. 2; pp. 255 - 257
Main Authors Hsin, S T, Chang, F C, Tsou, M Y, Liao, W W, Lee, T Y, Lui, P W, Luk, H N
Format Journal Article
LanguageEnglish
Published England 01.02.2001
Subjects
Adult
Anesthesia, Epidural - instrumentation
Catheterization
Equipment Failure
Humans
Jejunostomy
Male
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Summary: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.
Bibliography:ObjectType-Case Study-2
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ISSN:0001-5172
1399-6576
DOI:10.1034/j.1399-6576.2001.450219.x