Asymptomatic pneumomediastinum resulting from air in the epidural space -a case report
| Autor: | Young Deog Cha, Jang Ho Song, Ji Woong Park, Hyun Kyoung Lim, Mi Hyeon Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
pneumomediastinum business.industry Case Report Thoracic epidural block medicine.disease Asymptomatic Epidural space Surgery lcsh:RD78.3-87.3 Anesthesiology and Pain Medicine medicine.anatomical_structure emphysema epidural injection lcsh:Anesthesiology Epidural block Medicine Pneumomediastinum medicine.symptom business Loss of resistance |
| Zdroj: | Korean Journal of Anesthesiology, Vol 65, Iss 3, Pp 266-269 (2013) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | There are no reports regarding pneumomediastinum caused by thoracic epidural block complications. We believe that it is possible to experience an occurrence of pneumomediastinum caused by air in the epidural space after performing a thoracic epidural block using the loss of resistance (LOR) technique with air. We report a witnessed case where pneumomediastinum appeared after a thoracic epidural block. Pneumorrrhachis, paravertebral muscle emphysema, and pneumomediastinum were diagnosed by Positron Emission Tomography-Computed Tomography. Although extremely rare, pneumomediastinum can be caused by an epidural block using LOR technique with air. In order to avoid the above danger, the use of saline or very minimal amount of air is required during a careful LOR technique. |
| Databáze: | OpenAIRE |
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