Intraoperative subarachnoid migration of the epidural catheter used for continuous infusion leading to delayed detection

To the Editor, The subarachnoid migration of an epidural catheter is a rare but life-threating complication, usually detected by clinical signs such as respiratory depression, paralysis, and an unexpected drop in blood pressure [1–3]. [...]the continuous injection was stopped. In case of continuous...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2019-08, Vol.55, p.115-115
Main Authors: Ida, Mitsuru, Sumida, Mariko, Kawaguchi, Masahiko
Format: Article
Language:English
Subjects:
Blood pressure
Catheters
Heart rate
Human error
Surgery
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Summary:To the Editor, The subarachnoid migration of an epidural catheter is a rare but life-threating complication, usually detected by clinical signs such as respiratory depression, paralysis, and an unexpected drop in blood pressure [1–3]. [...]the continuous injection was stopped. In case of continuous injection, even if previous bolus infusions were successful, aspiration tests should be performed each time before the bolus injection, and vital signs should be carefully monitored after the bolus injection.Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.Declarations of interest None.Acknowledgements None.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2019.01.002