Migration of a thoracic epidural catheter into the intercostal space via the intervertebral foramen.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19095876.
- Also identified by DOI 10.1213/ane.0b013e31818e0ee2.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
We describe a documented migration of a thoracic epidural catheter into the thoracic cage in a 5-wk-old with DiGeorge's syndrome and an uncorrected acyanotic Tetralogy of Fallot who underwent laparotomy for malrotation, gastric fundoplication, and gastrostomy tube insertion under combined general and epidural anesthesia. A 20-gauge stimulating catheter was inserted caudally and advanced cephalad to the thoracic level while applying a low electrical current (1-10 mA) to confirm epidural placement at approximately T5-6. Despite good pain control through the third postoperative day, using an epidural infusion of bupivacaine 0.1% at 1-1.2 mL/h, radiography demonstrated catheter migration into the seventh intercostal space.
Medical subject headings
- Abnormalities, Multiple
- Analgesia, Epidural
- Anesthesia, Epidural
- Catheters, Indwelling
- Foreign-Body Migration
- Postoperative Pain