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Improper insertion of epidural catheter into thorax for postoperative analgesia in a patient undergoing esophagectomy

Improper insertion of epidural catheter into thorax for postoperative analgesia in a patient undergoing esophagectomy
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摘要 To the editor: Thoracic epidural analgesia is potent for patients undergoing thoracic surgeries, which can promote the rehabilitation as well as reduce the complications of surgery, such as pulmonary infection, atelectasis, cardiaovascular complications, intestinal disorders.1 However, its widespread application may be limited by some complications, including epidural space hemorrhage, hematoma and intraoperative hypotension. We report the occurrence of epidural catheter inserted into thorax when applying thoracic epidural analgesia for a patient undergoing esophagectomy. To the editor: Thoracic epidural analgesia is potent for patients undergoing thoracic surgeries, which can promote the rehabilitation as well as reduce the complications of surgery, such as pulmonary infection, atelectasis, cardiaovascular complications, intestinal disorders.1 However, its widespread application may be limited by some complications, including epidural space hemorrhage, hematoma and intraoperative hypotension. We report the occurrence of epidural catheter inserted into thorax when applying thoracic epidural analgesia for a patient undergoing esophagectomy.
机构地区 Third Mil Med Univ
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第18期3358-3358,共1页 中华医学杂志(英文版)
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参考文献3

  • 1Guay J. The benefits of adding epidural analgesia to general anesthesia: a metaanalysis. J Anesth 2006; 20: 335-340.
  • 2Giest J, Strauss J, Schaarschmidt K.Case report: failed epidural puncture for insertion of a catheter. Anasthesiol lntensivmed Notfallmed Sehmerzther 2011;46: 8-11.
  • 3Tsui BC, Kulkami P. Migration of a thoracic epidural catheter into the intercostal space via the intervertebral foramen. Anesth Analg 2009; 108: 371-373.

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