Document Detail

[Epidural malpositioning of an interscalene plexus catheter].
MedLine Citation:
PMID:  21725674     Owner:  NLM     Status:  MEDLINE    
A patient received an interscalene plexus catheter before shoulder surgery. After induction of general anesthesia catheter placement was performed with Winnie's technique and 5 ml of ropivacaine was injected via the catheter. In the recovery room slight dyspnea without wheezing was observed which improved spontaneously. Following another bolus of ropivacaine, dyspnea and paralysis of the contralateral arm developed and the patient became hypotensive. The tomography scan showed epidural malpositioning of the catheter. Neuraxial complications of interscalene regional anesthesia are especially possible with medially directed insertion of the needle and have been described many times in the literature. The symptoms and recommendations for prevention are discussed.
P Gaus; B Heb; Z Tanyay; H Müller-Breitenlohner
Publication Detail:
Type:  Case Reports; English Abstract; Journal Article     Date:  2011-07-03
Journal Detail:
Title:  Der Anaesthesist     Volume:  60     ISSN:  1432-055X     ISO Abbreviation:  Anaesthesist     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-21     Completed Date:  2012-01-11     Revised Date:  2012-01-26    
Medline Journal Info:
Nlm Unique ID:  0370525     Medline TA:  Anaesthesist     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  850-3     Citation Subset:  IM    
Abteilung für Anästhesie und Intensivmedizin, Kliniken Dr. Erler gGmbH, Nürnberg, Deutschland.
Vernacular Title:
Epidurale Fehllage eines interskalenären Plexuskatheters.
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MeSH Terms
Anesthesia, Epidural / adverse effects*
Anesthesia, General
Anesthetics, Local
Brachial Plexus
Catheterization / adverse effects
Hypotension / chemically induced,  diagnosis,  therapy
Medical Errors
Middle Aged
Nerve Block / adverse effects*
Shoulder / surgery
Shoulder Joint / surgery
Tomography, X-Ray Computed
Reg. No./Substance:
0/Amides; 0/Anesthetics, Local; 84057-95-4/ropivacaine
Comment In:
Anaesthesist. 2011 Dec;60(12):1154; author reply 1154, 1156   [PMID:  21997475 ]

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

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