J Korean Pain Soc.
1998 Oct;11(2):311-313.
Presumed Subarachnoid Migration of an Epidural Catheter
- Affiliations
-
- 1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
-
Continuous epidural catheter insertion is common practice in postoperative analgesia.
Subarachnoid migration of epidural catheter is a rare complication. Presumed delayed
subarachnoid migration of an epidural catheter occurred in a 58-year-old female patient
after subtotal gastrectomy. Delayed respiratory depression occurred 7 hrs after transfer
to admission room. She was intubated and had ventilatory care. The fluid from the epidural
catheter was examined and the result showed that gucase was 107 mg% and protein was 31 mg%.
Immediate naloxone administratian and ventilatory care for one day was done. The patient
discharged without any sequalae.