The Korean Journal of Pain  2011;24(1):44-47

doi:10.3344/kjp.2011.24.1.44

Epidural Catheter Malposition in a Failed Epidural Anesthesia Confirmed by Computed Tomography.

Se Jin LEE 1 ; Sang Ho KIM ; Sun Young PARK ; Mun Gyu KIM ; Bo Il JUNG ; Si Young OK

Affiliations

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Keywords

catheter malposition; epidural anesthesia; epidural space

Country

Republic of Korea

Language

English

Abstract

We report a case of failed epidural anesthesia despite successful identification of the epidural space, loss of resistance technique, hanging drop method and drip infusion. This case evaluated the use of computed tomography to confirm epidural catheter position, which showed the catheter accidentally positioned at the T2 lamina. Because epidural anesthesia can even after successful procedure using standardized techniques such as loss of resistance, we recommend performing the procedure under fluoroscopic guidance to improve success rate and patient safety.