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硬膜外导管断裂:一例病例报告及文献综述

Fracture of epidural catheter: A case report and review of literature.

作者信息

Vikram A

机构信息

Department of Anaesthesiology, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.

Department of Orthopaedics, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.

出版信息

Saudi J Anaesth. 2017 Jan-Mar;11(1):108-110. doi: 10.4103/1658-354X.197359.

DOI:10.4103/1658-354X.197359
PMID:28217068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5292832/
Abstract

Epidural blocks are a very important part of the anesthetic armamentarium. Among some of the known complications, fracture of epidural catheter, though is extremely rare, is a well-established entity. When it happens, it leaves the anesthesiologist puzzled and worried. We describe the occurrence of such an event where epidural catheter broke during insertion since it will also add to such an under-reported complication of a very commonly performed procedure. A brief review is also done which will delineate the recommendations for the prevention and management of such an event.

摘要

硬膜外阻滞是麻醉手段中非常重要的一部分。在一些已知的并发症中,硬膜外导管断裂虽然极为罕见,但却是一个已被充分认识的情况。当这种情况发生时,会让麻醉医生感到困惑和担忧。我们描述了这样一起事件,即硬膜外导管在插入过程中发生断裂,因为这也会增加这种在非常常见的操作中报告不足的并发症的案例。同时还进行了简要回顾,阐述了预防和处理此类事件的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56df/5292832/d5f8c3520dba/SJA-11-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56df/5292832/bfbe1601bfb7/SJA-11-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56df/5292832/d5f8c3520dba/SJA-11-108-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56df/5292832/bfbe1601bfb7/SJA-11-108-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56df/5292832/d5f8c3520dba/SJA-11-108-g002.jpg

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本文引用的文献

1
Delayed Onset of Subdural Hematoma following Epidural Catheter Breakage.硬膜外导管断裂后迟发性硬膜下血肿。
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When The Unexpected Happens: The Intriguing Retrieval of a Broken Epidural Catheter.当意外发生时:一例折断硬膜外导管的有趣取出过程
J Orthop Case Rep. 2024 Feb;14(2):136-139. doi: 10.13107/jocr.2024.v14.i02.4246.
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Rare Image of Epidural Catheter Fracture in Lumbar Analgesia.腰椎镇痛中硬膜外导管断裂的罕见影像
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Fractured epidural catheter with retained fragment in the epidural space-a case study and proposed management algorithm.硬膜外导管断裂且碎片残留于硬膜外腔——一例病例报告及拟议的处理流程
BJA Open. 2022 Oct 4;4:100095. doi: 10.1016/j.bjao.2022.100095. eCollection 2022 Dec.
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Cutaneous fluid leak from the epidural puncture site after insertion of a thoracic epidural catheter: A unusual cause.插入胸段硬膜外导管后硬膜外穿刺部位的皮肤渗液:一个不寻常的原因。
Saudi J Anaesth. 2022 Oct-Dec;16(4):512-513. doi: 10.4103/sja.sja_230_22. Epub 2022 Sep 3.
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BMC Anesthesiol. 2021 May 12;21(1):143. doi: 10.1186/s12871-021-01372-z.
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