Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2008
Case Reports[Trapped epidural catheter: reconstruction of computed tomography images].
A trapped epidural catheter without a knot is a rare complication. During placement of an epidural catheter for analgesia during labor, resistance made it impossible to position the catheter within the epidural space. A second catheter was inserted to provide the required analgesia. ⋯ In light of this situation, the patient was seated with the spine slightly bent to one side, a guidewire was inserted through the catheter lumen, and the catheter and guidewire were gently pulled; the catheter was extracted without causing the tip to break up. Three-dimensional CT reconstruction allowed the catheter tip and characteristics of the joint surfaces to be observed. We discuss protcols and alternative strategies that can be followed when an epidural catheter is difficult to remove, including the most appropriate images to use for guidance.
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Rev Esp Anestesiol Reanim · Dec 2008
Comment Letter Biography Historical Article[On the third debut of lumbar epidural anesthesia in Spain: 1940-1950].
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Rev Esp Anestesiol Reanim · Dec 2008
Clinical Trial[Ultrasound-guided puncture of the jugular vein using a posterior approach].
Ultrasound-guided central venous catheterization provides a direct view of anatomical structures, making it easier to determine the exact puncture site, thereby reducing the associated mechanical complications. ⋯ Ultrasound images allowed us to effectively examine the jugular vein prior to puncture for central venous catheterization. Ultrasound-guided puncture of the vein was satisfactory and free from complications in all cases.