Cesur Mehmet, Alici Haci A, Erdem Ali F
Department of Anesthesiology and Reanimation, Ataturk University, Medical Faculty, Erzurum, Turkey.
J Anesth. 2009;23(1):139-42. doi: 10.1007/s00540-008-0689-0. Epub 2009 Feb 22.
We report two cases of plantar flexion due to epidural misplacement of the needle during psoas compartment block, providing a response feedback for needle position during this procedure. In one case, the response occurred contralaterally, and in the other bilaterally. In the first patient, the cause of contralateral plantar flexion could not be determined and no injection was made. In the second patient, the anteriorposterior-fluoroscopic image showed that the tip of the needle was placed at the midline of the column. At this point, 3 ml of radiopaque medium was injected, and it diffused throughout the epidural space. Subsequently, single-shot epidural anesthesia was achieved by injection through this needle.
我们报告了两例在腰大肌间隙阻滞期间因硬膜外穿刺针位置不当导致足底屈曲的病例，为该操作过程中的针位置提供了反应反馈。其中一例反应发生在对侧，另一例为双侧。在首例患者中，无法确定对侧足底屈曲的原因，未进行注射。在第二例患者中，前后位透视图像显示针尖端位于椎体中线。此时，注入3毫升不透射线介质，其在整个硬膜外间隙扩散。随后，通过该针注射实现了单次硬膜外麻醉。
