• Anesthesia and analgesia · Jul 2013

    Case Reports

    Case report: inadvertent intrathecal placement of a pulmonary artery catheter introducer.

    • Marcel Schepers, Marcel Vercauteren, Dina De Bock, Inez Rodrigus, David Vanderplanken, and Michael Camerlinck.
    • Department of Anesthesiology, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium. marcel.vercauteren@uza.be
    • Anesth. Analg.. 2013 Jul 1;117(1):119-22.

    AbstractWe present a case of unintended intrathecal cannulation by a pulmonary artery catheter introducer in a patient scheduled for coronary surgery. This complication was likely due to multiple attempts of placing the guidewire. Switching to the straight tip of the guidewire may have created a false route, facilitating entrance in the subarachnoid space. A lumbar intrathecal catheter was placed to maintain a low pressure at the cervical dural puncture site by draining 10 mL cerebrospinal fluid per hour. After removal of the lumbar drain, the patient experienced symptoms consistent with postdural puncture headache. Magnetic resonance imaging of the spine could not reveal the location of the possible leak. A lumbar epidural blood patch alleviated all complaints. One month later the patient underwent surgery successfully. We hypothesize that ultrasound imaging may have prevented this complication.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…