title: Manipulation of epidural catheter that has migrated restores adequate postoperative analgesia--a case report.
abstract: 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.
authors.affiliation: Department of Anesthesiology, National Defense Medical Center/Tri-Service General Hospital, Taipei, Taiwan, R.O.C.
authors.forename: C C
authors.initials: CC
authors.lastname: Yeh
authors.forename: S T
authors.initials: ST
authors.lastname: Ho
authors.forename: C S
authors.initials: CS
authors.lastname: Wong
authors.forename: W J
authors.initials: WJ
authors.lastname: Liaw
authors.forename: J J
authors.initials: JJ
authors.lastname: Wang
authors.forename: J J
authors.initials: JJ
authors.lastname: Tang
mesh_terms: D000368:Aged; D015360:Analgesia, Epidural / Q000295:instrumentation; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male