Epidural catheter malposition in a failed epidural anesthesia confirmed by computed tomography

计算机断层扫描证实,硬膜外麻醉失败是由于硬膜外导管位置异常所致。

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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.

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