Knot formation in a thoracic epidural catheter: a case report.
Knot formation in a thoracic epidural catheter: a case report.
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DOI：
10.1186/s40981-021-00448-6
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发表时间：
2021-06-07
影响因子：
0.9
通讯作者：
Takeda C
中科院分区：
文献类型：
--
作者：
Mizota T;Kimura K;Takeda C
虽然大多数硬膜外导管结的形成已报道在腰椎硬膜外导管放置，结的形成在胸椎硬膜外导管已经经历过。一位72岁的妇女在全麻联合硬膜外麻醉下行腹腔镜胆囊切除术。硬膜外导管经Th10-Th11椎间隙置入，放置于硬膜外腔7cm处。手术两天后，麻醉师被叫来，因为难以取出硬膜外导管。麻醉师小心地将导管拉出，同时将患者的身体向右用力弯曲，尽管仍然注意到阻力，导管最终被取出。在离导管尖端约3mm处观察到一个坚硬的单结。在胸椎水平放置硬膜外导管形成结。限制导管放置的长度可以防止结的形成。
Although most epidural catheter knot formation has been reported in lumbar epidural catheter placement, knot formation in a thoracic epidural catheter has been experienced. A 72-year-old woman was scheduled for laparoscopic cholecystectomy under general anesthesia combined with epidural anesthesia. The epidural catheter was inserted through the Th10–Th11 intervertebral space and was placed 7 cm into the epidural space. Two days after the surgery, the anesthesiologist was called because of difficulty in removing the epidural catheter. The catheter was eventually removed when the anesthesiologist carefully pulled it while strongly bending the patient’s body to the right, although resistance was still noted. The removed catheter was observed to have a hard single knot formed at about 3 mm from the tip. A knot formation of an epidural catheter placed at the thoracic level was experienced. Limiting the length of catheter placement may prevent knot formation.
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DOI：
10.1007/bf03013787
发表时间：
1979-01-01
期刊：
CANADIAN ANAESTHETISTS SOCIETY JOURNAL
影响因子：
--
作者：
BROWNE, RA;POLITI, VL
通讯作者：
POLITI, VL
DOI：
10.1007/bf03020947
发表时间：
2000-04-01
期刊：
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
影响因子：
--
作者：
Renehan, EM;Peterson, RA;Chow, D
通讯作者：
Chow, D
影响因子：
2.8
作者：
Brichant, JF;Bonhomme, V;Hans, P
通讯作者：
Hans, P
影响因子：
9.8
作者：
Ryu, H. -G.;Bahk, J. -H.;Lim, Y. -J.
通讯作者：
Lim, Y. -J.
影响因子：
8.8
作者：
MUNEYUKI, M;SHIRAI, K;INAMOTO, A
通讯作者：
INAMOTO, A