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Lee SJ, Kim SH, Park SY, et al. Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography. Korean J Pain. 2011;24(1):44-7doi: 10.3344/kjp.2011.24.1.44.
Lee, S. J., Kim, S. H., Park, S. Y., Kim, M. G., Jung, B. I., & Ok, S. Y. (2011). Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography. The Korean journal of pain, 24(1), 44-7. https://doi.org/10.3344/kjp.2011.24.1.44
Lee, Se Jin, et al. "Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography." The Korean journal of pain vol. 24,1 (2011): 44-7. doi: https://doi.org/10.3344/kjp.2011.24.1.44
Lee SJ, Kim SH, Park SY, Kim MG, Jung BI, Ok SY. Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography. Korean J Pain. 2011 Mar;24(1):44-7. doi: 10.3344/kjp.2011.24.1.44. Epub 2011 Feb 25. PMID: 21390178; PMCID: PMC3049976.
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Korean J Pain. 2011 Mar;24(1):44-7. doi: 10.3344/kjp.2011.24.1.44. Epub 2011 Feb 25.

Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography.

The Korean journal of pain

Se Jin Lee, Sang Ho Kim, Sun Young Park, Mun Gyu Kim, Bo Il Jung, Si Young Ok

Affiliations

  1. Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Seoul, Korea.

PMID: 21390178 PMCID: PMC3049976 DOI: 10.3344/kjp.2011.24.1.44

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.

Keywords: catheter malposition; epidural anesthesia; epidural space

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