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Anesth Analg 2007;104:735-737
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000255654.01482.74

ANALGESIA

Unrecognized Contralateral Intrapleural Catheter: Bilateral Blockade May Obscure Detection of Failed Epidural Catheterization

Michael A. Cordone, MD, MPH*, Christopher L. Wu, MD*, Aimee L. Maceda, MD{dagger}, and Jeffrey M. Richman, MD*

From the Departments of *Anesthesiology and Critical Care Medicine and {dagger}Radiology, The Johns Hopkins University, School of Medicine; Baltimore, Maryland.

Address correspondence and reprint requests to Jeffrey M. Richman, MD, Department of Anesthesiology and Critical Care, The Johns Hopkins Hospital, 600 N. Wolfe St., Carnegie 280, Baltimore, MD 21287. Address e-mail to jrichma1{at}jhmi.edu.

Abstract

Thoracic epidural analgesia has been widely used to reduce both postoperative and posttraumatic pain. We describe a case of inadvertent right-sided interpleural catheter placement and pneumothorax during attempted epidural catheter placement for left-sided rib fractures that went unrecognized because of bilateral blockade and adequate analgesia.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.