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.

Keyword

Analgesia, postoperative, epidural; Complication, subarachnoid migration

MeSH Terms

Analgesia
Catheters*
Female
Gastrectomy
Humans
Middle Aged
Naloxone
Respiratory Insufficiency
Naloxone
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