A paravertebral catheter was placed in a 34-year-old man to provide analgesia after a right upper lobectomy. On removal, the catheter broke within the chest wall. Although bedside exploration and computed tomography scanning failed to locate it, the 13-cm long retained fragment was easily retrieved by video-assisted thoracic surgery, using a single-port technique.
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References
1.
RichardsonJSabanathanSJonesJShahRDCheemaSMearnsAJ. A prospective, randomized comparison of preoperative and continuous balanced epidural or paravertebral bupivacaine on post-thoracotomy pain, pulmonary function and stress responses. Br J Anaesth1999; 83: 387–92.
2.
DetterbeckFC. Subpleural catheter placement for pain relief after thoracoscopic resection. Ann Thorac Surg2006; 81: 1522–3.
BlanchardNClabeauJJOssartMDekensJLegarsDTchaoussoffJ. Radicular pain due to a retained fragment of epidural catheter. Anesthesiology1997; 87: 1567–9.
5.
UgbomaSAu-TruongXKranzlerLIRifaiSHJosephNJSalemMR. The breaking of an intrathecally-placed epidural catheter during extraction. Anesth Analg2002; 95: 1087–9.
6.
SakumaNHoriMSuzukiHHashimotoYKameyamaEHorinouchiT. A sheared off and sequestered epidural catheter: a case report. Masui2004; 53: 198–200.
7.
DemiraranYYucelIErdogmusB. Subcutaneous effusion resulting from an epidural catheter fragment. Br J Anaesth2006; 96: 508–9.
8.
NoblettKMcKinneyAKimR. Sheared epidural catheter during an elective procedure. Obstet Gynecol2007; 109: 566–8.
