Case Report: Radiographic Identification of Intrapleural Misplacement of Epidural Catheter in an Intubated Post-Lung Transplant Patient

Jiang Wu,1 Philip Chung,1 En-Haw Wu,2 Kai Zhang,1 Ryu Komatsu1 1Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA; 2Department of Radiology, University of Washington Medical Center, Seattle, WA, USACorrespondence: Jiang Wu Email jiangwu@uw.eduA...

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Autores principales: Wu J, Chung P, Wu EH, Zhang K, Komatsu R
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
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Acceso en línea:https://doaj.org/article/cf8828c42747421880025800d58e545d
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Sumario:Jiang Wu,1 Philip Chung,1 En-Haw Wu,2 Kai Zhang,1 Ryu Komatsu1 1Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA; 2Department of Radiology, University of Washington Medical Center, Seattle, WA, USACorrespondence: Jiang Wu Email jiangwu@uw.eduAbstract: Intrapleural misplacement of epidural catheter is a rare complication of thoracic epidural placement, which can be difficult to detect in intubated patients with unreliable pain reports and hemodynamic response to the test dose. We describe a case of intrapleural misplacement of thoracic epidural in a 50-year-old man status-post bilateral lung transplant and highlight the use of radiographic techniques to identify the misplacement.Keywords: epidural analgesia, lung transplant, postoperative complications