The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
권호 표지

Ultrasonogram-guided Confirmation of Sheared Epidural Catheter and its Surgical Removal -A case report-

초음파영상술을 이용한 절단된 경막외 카테터의 위치확인 및 수술적 제거 -증례 보고-

  • Kim, Sung-Nyeun (Department of Anesthesiology, Catholic University Medical College) ;
  • Park, Cheol-Joo (Department of Anesthesiology, Catholic University Medical College) ;
  • Kwon, Ou-Kyoung (Department of Anesthesiology, Catholic University Medical College) ;
  • Shim, Jae-Yong (Department of Anesthesiology, Catholic University Medical College) ;
  • Moon, Dong-Eon (Department of Anesthesiology, Catholic University Medical College) ;
  • Lee, Jae-Min (Department of Anesthesiology, Catholic University Medical College) ;
  • Kim, Young-Gwang (Department of Anesthesiology, Catholic University Medical College)
  • 김성년 (가톨릭대학교 의과대학 마취과학교실) ;
  • 박철주 (가톨릭대학교 의과대학 마취과학교실) ;
  • 권오경 (가톨릭대학교 의과대학 마취과학교실) ;
  • 심재용 (가톨릭대학교 의과대학 마취과학교실) ;
  • 문동언 (가톨릭대학교 의과대학 마취과학교실) ;
  • 이재민 (가톨릭대학교 의과대학 마취과학교실) ;
  • 김영광 (가톨릭대학교 의과대학 마취과학교실)
  • Published : 1997.11.22
Download PDF
⟨ Previous Next ⟩

Abstract

Continuous epidural blockade is a widely accepted, useful technique for providing anesthesia and analgesia. But there have been several anecdotal reports of complications such as: abnormal position, knotting, shearing of the catheter, etc. We experienced a case of shearing of the end of an epidural catheter which was difficult to remove from epidural space of a 39-year-old patient. Ultrasonogram proved to be very effective to confirm the presence and position of the retained catheter. We surgically removed the retained catheter as it could potentially lead to infection of the epidural space. We advocate the ultrasonogram as an effective procedure to confirm and locate retained epidural catheter.

Keywords