Part of TopicBrowse Topic in full-screen mode
Extra-Epidural Mechanism of Analgesia?
Brian F Abadir M.D.; Doug Jaffe D.O.; Sean Dobson M.D. P.h.D
Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
Thoracic epidural analgesia is indicated for post-operative
analgesia for a variety of intrathoracic and intra-abdominal
surgeries. However, it is possible for epidural catheters to be
malpositioned or to yield unsatisfactory analgesia as interpreted by
the patient, which often requires alternative analgesia management
or epidural catheter replacement.
• This abstract presents a patient whose epidural catheter was
incidentally found to be in the thoracic cavity adjacent to the
anterior vertebral body. In this patient, after dosage adjustment of
the infusion, satisfactory postoperative analgesia was reported by
the patient for the remainder of his hospitalization, which suggests
an extra-epidural mechanism of analgesia.