Department of Anesthesiology and Pain Medicine, College of Medicine, Soonchunhyang University, Seoul, Korea.
Korean J Pain. 2011 Mar;24(1):44-7. doi: 10.3344/kjp.2011.24.1.44. Epub 2011 Feb 25.
We report a case of failed epidural anesthesia despite successful identification of the epidural space, loss of resistance technique, hanging drop method and drip infusion. This case evaluated the use of computed tomography to confirm epidural catheter position, which showed the catheter accidentally positioned at the T2 lamina. Because epidural anesthesia can even after successful procedure using standardized techniques such as loss of resistance, we recommend performing the procedure under fluoroscopic guidance to improve success rate and patient safety.
我们报告了一例尽管成功确定了硬膜外腔、使用了阻力消失技术、滴注法和滴注输注，但硬膜外麻醉仍失败的病例。本病例评估了使用计算机断层扫描（CT）确认硬膜外导管位置的方法，结果显示导管意外位于 T2 椎板。由于即使在使用阻力消失等标准化技术成功进行硬膜外麻醉后，也可能会出现这种情况，因此我们建议在透视引导下进行该操作，以提高成功率并确保患者安全。
