持続硬膜外カテ-テルの抜去困難の1例

概要

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A 38-year-old man underwent continuous lumbar epidural anesthesia for laparoscopy.<BR>When removal of the catheter was attempted, it was found to be firmly fixed in the back and could not be removed even with the patient maximally flexed.<BR>After laparoscopy, anterior-posterior and lateral roentgenographs were taken by injection of contrast media through the catheter, and it was found that the catheter looped in the epidural space.<BR>After making another attempt, we succeeded to remove the catheter without severance. But examination of the catheter revealed that it was severely extended and almost severed.<BR>We warned that there is the possibility of difficult removal and severance of epidural catheter at any time.
昭和大学・昭和医学会の論文