Pleural puncture with thoracic epidural: A rare complication?
Freedom from pain has almost developed to be a fundamental human right. Providing pain relief via epidural catheters in thoracic and upper abdominal surgeries is widely accepted. Pain relief through this technique not only provides continuous analgesia but also reduces post-operative pulmonary compl...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2011-01-01
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Series: | Indian Journal of Anaesthesia |
Subjects: | |
Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=2;spage=163;epage=166;aulast=Wadhwa |
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author | Rachna Wadhwa Sandeep Sharma Devadatta Poddar Sujata Sharma |
author_facet | Rachna Wadhwa Sandeep Sharma Devadatta Poddar Sujata Sharma |
author_sort | Rachna Wadhwa |
collection | DOAJ |
description | Freedom from pain has almost developed to be a fundamental human right. Providing pain relief via epidural catheters in thoracic and upper abdominal surgeries is widely accepted. Pain relief through this technique not only provides continuous analgesia but also reduces post-operative pulmonary complications and also hastens recovery. But being a blind procedure it is accompanied by certain complications. Hypotension, dura puncture, high epidural, total spinal, epidural haematoma, spinal cord injury and infection are some of the documented side effects of epidural block. There are case reports eliciting neurological complications, catheter site infections, paresthesias, radicular symptoms and worsening of previous neurological conditions. Few technical problems related to breakage of epidural catheter are also mentioned in the literature. The patient had no sequelae on long term follow up even when a portion of catheter was retained. We present a case report where epidural catheter punctured pleura in a patient undergoing thoracotomy for carcinoma oesophagus. |
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format | Article |
id | doaj.art-3061ea52af59484f8573a0daa8917bf5 |
institution | Directory Open Access Journal |
issn | 0019-5049 |
language | English |
last_indexed | 2024-12-12T20:25:02Z |
publishDate | 2011-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Anaesthesia |
spelling | doaj.art-3061ea52af59484f8573a0daa8917bf52022-12-22T00:13:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492011-01-0155216316610.4103/0019-5049.79898Pleural puncture with thoracic epidural: A rare complication?Rachna WadhwaSandeep SharmaDevadatta PoddarSujata SharmaFreedom from pain has almost developed to be a fundamental human right. Providing pain relief via epidural catheters in thoracic and upper abdominal surgeries is widely accepted. Pain relief through this technique not only provides continuous analgesia but also reduces post-operative pulmonary complications and also hastens recovery. But being a blind procedure it is accompanied by certain complications. Hypotension, dura puncture, high epidural, total spinal, epidural haematoma, spinal cord injury and infection are some of the documented side effects of epidural block. There are case reports eliciting neurological complications, catheter site infections, paresthesias, radicular symptoms and worsening of previous neurological conditions. Few technical problems related to breakage of epidural catheter are also mentioned in the literature. The patient had no sequelae on long term follow up even when a portion of catheter was retained. We present a case report where epidural catheter punctured pleura in a patient undergoing thoracotomy for carcinoma oesophagus.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=2;spage=163;epage=166;aulast=WadhwaEpidural catheterpost-operative painthoracotomy |
spellingShingle | Rachna Wadhwa Sandeep Sharma Devadatta Poddar Sujata Sharma Pleural puncture with thoracic epidural: A rare complication? Indian Journal of Anaesthesia Epidural catheter post-operative pain thoracotomy |
title | Pleural puncture with thoracic epidural: A rare complication? |
title_full | Pleural puncture with thoracic epidural: A rare complication? |
title_fullStr | Pleural puncture with thoracic epidural: A rare complication? |
title_full_unstemmed | Pleural puncture with thoracic epidural: A rare complication? |
title_short | Pleural puncture with thoracic epidural: A rare complication? |
title_sort | pleural puncture with thoracic epidural a rare complication |
topic | Epidural catheter post-operative pain thoracotomy |
url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=2;spage=163;epage=166;aulast=Wadhwa |
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