The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Presumed Subarachnoid Migration of an Epidural Catheter -A case report-

경막외 카테터의 지주막하강으로의 이전 -증례 보고-

  • Kim, Ki-Jun (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Park, Byoung-Hark (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Lee, Youn-Woo (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Yoon, Duck-Mi (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Nam, Yong-Taek (Department of Anesthesiology, Yonsei University College of Medicine) ;
  • Kim, Seung-Jun (Department of Anesthesiology, Yonsei University College of Medicine)
  • 김기준 (연세대학교 의과대학 마취과학교실) ;
  • 박병학 (연세대학교 의과대학 마취과학교실) ;
  • 이윤우 (연세대학교 의과대학 마취과학교실) ;
  • 윤덕미 (연세대학교 의과대학 마취과학교실) ;
  • 남용택 (연세대학교 의과대학 마취과학교실) ;
  • 김승준 (연세대학교 의과대학 마취과학교실)
  • Published : 1998.10.10
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Abstract

Continuous epidural catheter insertion is common practice in postoperative analgesia. Subarachnoid migration of epidural catheter is a rare complication. Presumed delayed subarachnoid migration of an epidural catheter occured in a 58-year-old female patient after subtotal gastrectomy. Delayed respiratory depression occured 7 hrs after transfer to admission room. She was intubated and had ventilatory care. The fluid from the epidural catheter was examined and the result showed that gucose was 107 mg% and protein was 31 mg%. Immediate naloxone administration and ventilatory care for one day was done. The patient discharged without any sequalae.

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