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Wandering paravertebral catheter detected during thoracoscopy
Nambiath Sujata1, Raj Tobin1, Alok Gupta1
1Department of Anesthesiology and Pain Management, Max Super Specialty Hospital, No. 1 Press Enclave Road, Saket, New Delhi, India.
Annals of Cardiac Anaesthesia
|January 14, 2020
Summary
A paravertebral catheter migrated into the pleural space, a complication discovered during video-assisted thoracoscopic surgery. This case highlights potential risks associated with ultrasound-guided catheter placement.
Area of Science:
- Thoracic Surgery
- Pain Management
- Medical Imaging
Background:
- Paravertebral catheters are used for regional anesthesia and analgesia.
- Ultrasound guidance improves accuracy in catheter placement.
- Potential complications include catheter malposition and migration.
Observation:
- A case of intrapleural catheter migration is presented.
- The catheter was initially inserted using ultrasound guidance.
- Migration was detected during a subsequent video-assisted thoracoscopic surgery (VATS).
Findings:
- The paravertebral catheter migrated from its original insertion site to the intrapleural space.
- Ultrasound guidance did not prevent this specific complication.
- Video-assisted thoracoscopic surgery was crucial for identifying the migrated catheter.
Implications:
- This case underscores the importance of vigilance for catheter migration, even with ultrasound guidance.
- Enhanced monitoring or alternative techniques may be considered to minimize migration risks.
- Understanding such complications is vital for improving patient safety in thoracic procedures.
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