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タイトル: Knot formation in a thoracic epidural catheter: a case report
著者: Mizota, Toshiyuki  kyouindb  KAKEN_id  orcid https://orcid.org/0000-0003-2770-4262 (unconfirmed)
Kimura, Kayo
Takeda, Chikashi
著者名の別形: 溝田, 敏幸
木村, 佳代
武田 親宗
キーワード: Epidural anesthesia
Knot
Thoracic
発行日: 7-Jun-2021
出版者: Springer Nature
誌名: JA Clinical Reports
巻: 7
論文番号: 45
抄録: Background: Although most epidural catheter knot formation has been reported in lumbar epidural catheter placement, knot formation in a thoracic epidural catheter has been experienced. Case presentation: 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. Conclusions: A knot formation of an epidural catheter placed at the thoracic level was experienced. Limiting the length of catheter placement may prevent knot formation.
著作権等: © The Author(s). 2021 Open Access
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
URI: http://hdl.handle.net/2433/278265
DOI(出版社版): 10.1186/s40981-021-00448-6
PubMed ID: 34100173
出現コレクション:学術雑誌掲載論文等

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