Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy
BackgroundEpidural analgesia is commonly used to provide several types of pain relief. Although this technique has been widely used with many advantages, currently the complications appear to be increasing. Especially, inadvertent intravascular cannulation and intravascular local anesthetic administ...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2012-03-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-62-251.pdf |
| _version_ | 1818280125201907712 |
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| author | Sae Young Kim Yun Young Kim Ae Ra Kim |
| author_facet | Sae Young Kim Yun Young Kim Ae Ra Kim |
| author_sort | Sae Young Kim |
| collection | DOAJ |
| description | BackgroundEpidural analgesia is commonly used to provide several types of pain relief. Although this technique has been widely used with many advantages, currently the complications appear to be increasing. Especially, inadvertent intravascular cannulation and intravascular local anesthetic administration can lead to fatal consequences.MethodsData was collected on 296 patients undergoing elective thoracic or abdominal surgery. Two detection methods were utilized to confirm the epidural intravascular cannulation; flashback and aspiration of indwelling catheter, and injection of a contrast agent through the catheter under fluoroscopy were used to guide the placement of the catheter and to examine the intravascular cannulation.ResultsEpidural intravascular cannulation was reported in 4 out of 296 cases (1.4%), and 1 patient underwent subdural cannulation. Among the 4 cases of epidural intravascular cannulation, two were confirmed by the flashback and aspiration methods, while the remaining cases were only detected by real time fluoroscopy.ConclusionsIn this study, inadvertent epidural intravascular cannulation occurred by as much as 1.4% of thoracic epidural catheterization. Utilizing real time fluoroscopy in addition to flashback and aspiration can enhance the sensitivity of detection. |
| first_indexed | 2024-12-12T23:44:15Z |
| format | Article |
| id | doaj.art-a7e5241b221f415db5641c671f30e2a4 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-12T23:44:15Z |
| publishDate | 2012-03-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-a7e5241b221f415db5641c671f30e2a42022-12-22T00:06:56ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-03-0162325125510.4097/kjae.2012.62.3.2517296Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopySae Young Kim0Yun Young Kim1Ae Ra Kim2Department of Anesthesiology and Pain Medicine, School of Medicine, Keimyung University, Daegu, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Keimyung University, Daegu, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Keimyung University, Daegu, Korea.BackgroundEpidural analgesia is commonly used to provide several types of pain relief. Although this technique has been widely used with many advantages, currently the complications appear to be increasing. Especially, inadvertent intravascular cannulation and intravascular local anesthetic administration can lead to fatal consequences.MethodsData was collected on 296 patients undergoing elective thoracic or abdominal surgery. Two detection methods were utilized to confirm the epidural intravascular cannulation; flashback and aspiration of indwelling catheter, and injection of a contrast agent through the catheter under fluoroscopy were used to guide the placement of the catheter and to examine the intravascular cannulation.ResultsEpidural intravascular cannulation was reported in 4 out of 296 cases (1.4%), and 1 patient underwent subdural cannulation. Among the 4 cases of epidural intravascular cannulation, two were confirmed by the flashback and aspiration methods, while the remaining cases were only detected by real time fluoroscopy.ConclusionsIn this study, inadvertent epidural intravascular cannulation occurred by as much as 1.4% of thoracic epidural catheterization. Utilizing real time fluoroscopy in addition to flashback and aspiration can enhance the sensitivity of detection.http://ekja.org/upload/pdf/kjae-62-251.pdfanalgesiablood vesselscathetersepidural spacethorax |
| spellingShingle | Sae Young Kim Yun Young Kim Ae Ra Kim Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy Korean Journal of Anesthesiology analgesia blood vessels catheters epidural space thorax |
| title | Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| title_full | Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| title_fullStr | Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| title_full_unstemmed | Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| title_short | Incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| title_sort | incidence of intravascular insertion in thoracic epidural catheterization by using real time fluoroscopy |
| topic | analgesia blood vessels catheters epidural space thorax |
| url | http://ekja.org/upload/pdf/kjae-62-251.pdf |
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