| Accidental intrapleural positioning of an epidural catheter in a patient undergoing a right pneumonectomy: A case report. |
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Ji Yeon Kim, Jang Su Park, Chae In Jeong, Sang Il Lee, Kyung Tae Kim, Won Joo Choe, Jung Won Kim |
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Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. jspark@paik.ac.kr |
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| Abstract |
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Thoracic epidural analgesia is a common method of pain relief for thoracic and upper abdominal surgery.
Misplacement of the epidural catheter is one of the complications associated with epidural analgesia. A 60-year-old man was scheduled for a right pneumonectomy under general anesthesia. Before inducing general anesthesia, the patient was placed in the left lateral decubitus position. A 18-gauge Tuohy needle was inserted into the T6-T7 level using the left paramedian approach 1.5 cm lateral to the midline with a loss of resistance at 7 cm, and uneventful catheter advancement was performed.
Approximately 30 minutes after commencing surgery, the surgeon found the epidural catheter in the right pleural cavity. We report a case of the accidental intrapleural positioning of a thoracic epidural catheter. |
| Key Words:
complication; intrapleural positioning; loss of resistance; thoracic epidural catheter |
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