Document Detail

Accidental pleural puncture by a thoracic epidural catheter.
MedLine Citation:
PMID:  9505745     Owner:  NLM     Status:  MEDLINE    
We report the occurrence of an accidental pleural puncture by an epidural catheter that happened during the attempted induction of thoracic epidural anaesthesia using a paramedian approach in an awake patient. The incorrect placement of the catheter was recognised while the patient was undergoing thoracoscopic surgery. The possibility of accidental pleural puncture during attempted thoracic epidural catheter placement by either the paramedian or the midline approach should be borne in mind. A misplaced catheter may injure lung tissue and result in a potentially dangerous intra-operative tension pneumothorax.
M Zaugg; S Stoehr; W Weder; A Zollinger
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  53     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-03-25     Completed Date:  1998-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  69-71     Citation Subset:  AIM; IM    
Institute of Anaesthesiology, University Hospital Zürich, Switzerland.
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MeSH Terms
Anesthesia, Epidural / adverse effects*
Pleura / injuries*
Wounds, Penetrating / diagnosis,  etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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