Regional anesthesia and pain medicine · 2026
Inadvertent intrapleural placement of a thoracic epidural catheter identified during robotic-assisted video-assisted thoracoscopic surgery (VATS).
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kodra Neslida, Sugarman Adam, Garcia Alexis, Garcia Guillermo
Аннотация
BACKGROUND: Thoracic epidural analgesia is widely considered the gold standard for perioperative pain control in thoracic surgery. Despite its benefits, placement is technically challenging and can result in rare complications such as catheter misplacement into the intrapleural space.
CASE PRESENTATION: This case report will discuss a female patient in her late 70s with scoliosis and obesity who underwent robotic-assisted video-assisted thoracoscopic surgery for a pulmonary mass. The thoracic epidural catheter placed preoperatively was later directly visualized in the intrapleural space during the procedure. The catheter was immediately removed with no complications.
CONCLUSION: Thoracic epidural placement can be challenging due to patient factors, such as positioning, age, body habitus, and spinal deformities, as well as the inherent anatomy of the thoracic spine.Inadvertent intrapleural catheter misplacement is likely an under-reported complication that can lead to pneumothorax, hemothorax, and inadequate pain control; however, some catheters left in place have successfully been used for analgesia.
CASE PRESENTATION: This case report will discuss a female patient in her late 70s with scoliosis and obesity who underwent robotic-assisted video-assisted thoracoscopic surgery for a pulmonary mass. The thoracic epidural catheter placed preoperatively was later directly visualized in the intrapleural space during the procedure. The catheter was immediately removed with no complications.
CONCLUSION: Thoracic epidural placement can be challenging due to patient factors, such as positioning, age, body habitus, and spinal deformities, as well as the inherent anatomy of the thoracic spine.Inadvertent intrapleural catheter misplacement is likely an under-reported complication that can lead to pneumothorax, hemothorax, and inadequate pain control; however, some catheters left in place have successfully been used for analgesia.