title: Inadvertent knotting of a thoracic epidural catheter.
abstract: We report a case of corrosive injury of upper gastrointestinal and respiratory tracts scheduled for feeding jejunostomy under thoracic epidural anesthesia. An epidural catheter was inserted at the T8-T9 intervertebral space and threaded 7 cm beyond the tip of the Tuohy needle in a rostral direction. Resistance was noticed during attempts to inject the local anesthetic. As resistance could not be relieved by changing the position of the patient, kinking of the epidural catheter was suspected. Following informing the patient of the associated risks, the catheter was retrieved successfully by gentle and steady pulling. A tight double-knot of catheter was found. No neurological sequelae to the procedure were noticed.
authors.affiliation: Department of Anesthesiology, Veterans General Hospital-Taipei, Taiwan, ROC.
authors.forename: S T
authors.initials: ST
authors.lastname: Hsin
authors.forename: F C
authors.initials: FC
authors.lastname: Chang
authors.forename: M Y
authors.initials: MY
authors.lastname: Tsou
authors.forename: W W
authors.initials: WW
authors.lastname: Liao
authors.forename: T Y
authors.initials: TY
authors.lastname: Lee
authors.forename: P W
authors.initials: PW
authors.lastname: Lui
authors.forename: H N
authors.initials: HN
authors.lastname: Luk
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000295:instrumentation*; D002404:Catheterization; D004868:Equipment Failure; D006801:Humans; D007582:Jejunostomy; D008297:Male