Intrapleural placement of a thoracic epidural catheter in a patient with spinal stenosis

Kiran Belani; Mario Montealegre-Gallegos; Brian Ferla; Robina Matyal

doi:10.1016/j.jclinane.2016.07.023

Intrapleural placement of a thoracic epidural catheter in a patient with spinal stenosis

Kiran Belani, Mario Montealegre-Gallegos^*, Brian Ferla, Robina Matyal

^*Corresponding author for this work

Anesthesiology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Due to the close proximity of the thoracic epidural space and parietal pleura, pleural puncture with intrapleural catheter placement is a potential complication of thoracic epidural anesthesia. The authors present a case of an obese patient with a history of spinal stenosis that underwent thoracotomy. Repeated failed attempts at epidural anesthesia were complicated by intrapleural placement of the catheter. The patient subsequently developed clinical signs of pneumothorax and required urgent thoracostomy.

Original language	English (US)
Pages (from-to)	195-197
Number of pages	3
Journal	Journal of Clinical Anesthesia
Volume	35
DOIs	https://doi.org/10.1016/j.jclinane.2016.07.023
State	Published - Dec 1 2016

Keywords

Epidural anesthesia
Peroperative complications
Regional anesthesia

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1016/j.jclinane.2016.07.023

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title = "Intrapleural placement of a thoracic epidural catheter in a patient with spinal stenosis",

abstract = "Due to the close proximity of the thoracic epidural space and parietal pleura, pleural puncture with intrapleural catheter placement is a potential complication of thoracic epidural anesthesia. The authors present a case of an obese patient with a history of spinal stenosis that underwent thoracotomy. Repeated failed attempts at epidural anesthesia were complicated by intrapleural placement of the catheter. The patient subsequently developed clinical signs of pneumothorax and required urgent thoracostomy.",

keywords = "Epidural anesthesia, Peroperative complications, Regional anesthesia",

author = "Kiran Belani and Mario Montealegre-Gallegos and Brian Ferla and Robina Matyal",

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AU - Belani, Kiran

AU - Montealegre-Gallegos, Mario

AU - Ferla, Brian

AU - Matyal, Robina

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Due to the close proximity of the thoracic epidural space and parietal pleura, pleural puncture with intrapleural catheter placement is a potential complication of thoracic epidural anesthesia. The authors present a case of an obese patient with a history of spinal stenosis that underwent thoracotomy. Repeated failed attempts at epidural anesthesia were complicated by intrapleural placement of the catheter. The patient subsequently developed clinical signs of pneumothorax and required urgent thoracostomy.

AB - Due to the close proximity of the thoracic epidural space and parietal pleura, pleural puncture with intrapleural catheter placement is a potential complication of thoracic epidural anesthesia. The authors present a case of an obese patient with a history of spinal stenosis that underwent thoracotomy. Repeated failed attempts at epidural anesthesia were complicated by intrapleural placement of the catheter. The patient subsequently developed clinical signs of pneumothorax and required urgent thoracostomy.

KW - Epidural anesthesia

KW - Peroperative complications

KW - Regional anesthesia

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JO - Journal of Clinical Anesthesia

JF - Journal of Clinical Anesthesia

ER -

Intrapleural placement of a thoracic epidural catheter in a patient with spinal stenosis

Abstract

Keywords

ASJC Scopus subject areas

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