• Paediatric anaesthesia · Mar 2012

    Case Reports

    Migrating thoracic epidural catheter in an infant.

    • Mark E Thompson and Heidi Aasheim.
    • Department of Anesthesia, Children's Hospital of Colorado and University of Colorado, Aurora, CO 80045, USA. mark.thompson@childrenscolorado.org
    • Paediatr Anaesth. 2012 Mar 1;22(3):285-7.

    AbstractInfants have a shorter neuraxial length and shorter skin to epidural space than adults. Even small amounts of migration may produce significant and unintended effects. Optimal fixation to prevent migration, bacterial colonization, and leakage is not clear from the literature. We report the case of a thoracic epidural that migrated inward for six centimeters, associated with loss of analgesic effect.© 2011 Blackwell Publishing Ltd.

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