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Air migration in epidural space after placement of catheter with loss of resistance technique to air
Migración de aire en espacio epidural tras colocación de catéter con técnica de pérdida de resistencia con aire
S. Núñez-Moreno
, J.A. Husillos-Alvarez, J. Caurel-Carrera, D. Arias-Rodriguez
Corresponding author
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital El Bierzo, Fuentesnuevas, León, Spain
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Núñez-Moreno, J.A. Husillos-Alvarez, J. Caurel-Carrera, D. Arias-Rodriguez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Núñez-Moreno" "email" => array:1 [ 0 => "sergie_zin@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Husillos-Alvarez" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Caurel-Carrera" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Arias-Rodriguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital El Bierzo, Fuentesnuevas, León, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Migración de aire en espacio epidural tras colocación de catéter con técnica de pérdida de resistencia con aire" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1262 "Ancho" => 2167 "Tamanyo" => 241115 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Air rising through the epidural space after catheter insertion using the loss of resistance to air technique. (A) Air in the lumbar and thoracic epidural space. (B) Air in the thoracic epidural space.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 65-year-old woman with a history of deep vein thrombosis was admitted for replacement of total knee prosthesis due to loosening. We administered combined spinal-epidural anaesthesia using the needle through needle technique. The epidural catheter was inserted using a Tuohy needle and the loss of resistance to air technique. Initially, 3<span class="elsevierStyleHsp" style=""></span>ml of air was injected, with a further 2<span class="elsevierStyleHsp" style=""></span>ml in a second attempt. The puncture was performed at the level of L4–L5, with the patient in sedestation. In the immediate postoperative period, the patient presented an episode of sudden dyspnoea and hypotension. We confirmed our suspicion of pulmonary thromboembolism with a CT scan. An incidental finding during the study was air rising cranially through the epidural space (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) to the upper thorax (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Núñez-Moreno S, Husillos-Alvarez JA, Caurel-Carrera J, Arias-Rodriguez D. Migración de aire en espacio epidural tras colocación de catéter con técnica de pérdida de resistencia con aire. 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