Manipulation of epidural catheter that has migrated restores adequate postoperative analgesia--a case report.
The use of epidural anesthesia and analgesia is ordinary in patients undergoing total knee replacement (TKR). As many as 23% of epidural anesthetics may not provide satisfactory analgesia for women in labor. A similar condition is encountered following the operation of TKR. We reported a case in whom the in-place epidural catheter which functioned well for surgical anesthesia previously migrated to an intervertebral foramen postoperatively and led to failure of providing post-operative analgesia. With deliberate manipulation we succeeded in restoring its function and analgesia showed up again.
Yeh
C C
CC
Department of Anesthesiology, National Defense Medical Center/Tri-Service General Hospital, Taipei, Taiwan, R.O.C.
Ho
S T
ST
Wong
C S
CS
Liaw
W J
WJ
Wang
J J
JJ
Tang
J J
JJ
D000368:Aged; D015360:Analgesia, Epidural / Q000295:instrumentation; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male