Giest Judith, Strauss Jochen, Schaarschmidt Klaus
Oberärztin der Klinik für Anästhesie, perioperative Medizin und Schmerztherapie, Helios-Klinikum Berlin-Buch.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2011 Jan;46(1):8-11. doi: 10.1055/s-0030-1270553. Epub 2011 Jan 17.
We report on a failed epidural puncture for insertion of a catheter during chest wall correction by the minimally invasive procedure according to Nuss in a 16-year-old boy. After insertion of the catheter without any problem and establishment of a symmetrical thoracic analgesia and initiation of general anaesthesia, the catheter was surprisingly observed in the thoracic cavity upon insertion of the endoscopic camera. The catheter was then withdrawn under vision and the operation continued without any further incidents.
我们报告了一例在一名16岁男孩按照努斯(Nuss)微创方法进行胸壁矫正手术时,硬膜外穿刺置管失败的病例。在顺利插入导管并建立对称的胸段镇痛以及开始全身麻醉后,在内镜摄像头插入时,令人惊讶地发现导管位于胸腔内。随后在直视下将导管拔出,手术继续进行,未再发生任何其他意外情况。