• A&A practice · Nov 2024

    Case Reports

    Unintentional Mediastinal Placement of Thoracic Epidural Catheter Incidentally Discovered on Computed Tomography Imaging: A Case Report.

    • Jacob M Nieb, Garcia TomasVicenteV, and Liting Chen.
    • From the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
    • A A Pract. 2024 Nov 1; 18 (11): e01864e01864.

    AbstractThoracic epidural analgesia is commonly used for postoperative analgesia for abdominal and thoracic surgeries. One complication of thoracic epidural catheter placement is a malpositioned catheter, such as in the subarachnoid, subdural, or intrapleural space. We present a case of unintentional posterior mediastinal catheter placement. The catheter produced a sensory level and analgesic benefit and was only identified incidentally on computed tomography (CT) imaging. This case highlights another possible anatomic location for unintentional catheter placement, which may be more common than reported, as it functioned as an epidural catheter by all clinical metrics and would not have been identified without imaging.Copyright © 2024 International Anesthesia Research Society.

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