Annales françaises d'anesthèsie et de rèanimation
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We report a case of impossible injection into a thoracic epidural catheter associated with a difficult withdrawal of this catheter after its introduction on the T3-T4 level. Thanks to a gentle and continuous traction, the catheter was finally successfully removed without being broken, but presented a simple knot at 13mm from its end. ⋯ We have been probably confronted with a catheter taking an abnormal direction due to an anatomic structure. This case shows us that knots in an epidural catheter are also possible on the high thoracic level and that its ascent within the epidural space must happen without any resistance.
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Ann Fr Anesth Reanim · Feb 2011
[Cricothyrotomy in emergency context: assessment of a cannot intubate cannot ventilate scenario].
The aim of this study was to assess airway management by emergency physicians in case of a simulated situation where intubation and ventilation were both impossible. ⋯ Simulation with a manikin is useful to assess the adhesion rate to difficult intubation algorithms. Our study shows that the decision making process for cricothyrotomy is too often delayed as soon as ventilation became impossible and oxygenation compromized.