Open AccessPrompt Detection of Intravascular Migration of Cervical Epidural Catheter in Superior Vena Cava Avoids Impending Disaster!
Author(s) -
Sandeep Diwan,
Abhijit Nair
Publication year - 2021
Publication title -
turkish journal of anaesthesiology and reanimation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.322
H-Index - 12
eISSN - 2667-677X
pISSN - 2667-6370
DOI - 10.5152/tjar.2021.119
Subject(s) - fluoroscopy , catheter , medicine , superior vena cava , bolus (digestion) , radiology , surgery
The intravascular migration of a multihole epidural catheter can have catastrophic consequences. The consequences can be even more exaggerated if the catheter is placed at the cervical or high thoracic region. We suggest a cautious approach before injection of a bolus of local anaesthetic. Whenever in doubt, the exact position of the catheter should be checked using fluoroscopy and contrast injection. In this case report, we have described our experience with an inadvertently placed intravascular cervical epidural catheter.