Shearing and Migration of Interscalene Catheter After an Uncomplicated Ultrasound Guided Placement
Vol 2 | Issue 2 | July-December 2021 | Page 137-140 | Shashank Rane, Vijay Shetty, Sitaram Prasad, Rajat Bhargava
DOI: 10.13107/ijra.2021.v02i02.042
Authors: Shashank Rane [1], Vijay Shetty [1], Sitaram Prasad [2], Rajat Bhargava [3]
[1] Department of Anaesthesia, Fortis Hospital, Mumbai, Maharashtra, India.
[2] Department of Plastic Surgery, Fortis Hospital, Mumbai, Maharashtra, India.
[3] Department of Radiology, Fortis Hospital, Mumbai, Maharashtra, India.
Address of Correspondence
Dr. Shashank Rane,
Department of Anaesthesia, Fortis Hospital, Mumbai, Maharashtra, India.
E-mail: shankrane81@gmail.com
Abstract
We report on the case of shearing and migration of an interscalene nerve catheter in 68- year-old female who underwent a left shoulder surgery. The catheter was placed under ultrasound guidance without any apparent complications. Continuous interscalene nerve block was successfully used to complement General Anaesthesia and provide postoperative pain relief. On the second day, at the time of catheter removal, the catheter inadvertently sheared at the point of insertion with the distal 7 centimetres migrating under the skin. The axial and coronal CT scan sections confirmed the migration of the catheter posterolateral to subclavian artery in the vicinity of the Brachial plexus. Patient did not have any pain or neurological deficit. Surgery was performed to extract the catheter, which was found in brachial plexus sheath between lower end of Scalenus Anterior and Scalenus Medius.
Keywords: Interscalene catheter, Shearing, Migration
References
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2. Ates Y, Yucesoy CA, Unlu MA, Saygin B, Akkas N. The mechanical properties of intact and traumatized epidural catheters. Anesth Analg 2000;90:393–9.
3. Hadzic A, ed. New York School of Regional Anesthesia. Textbook of Regional Anesthesia and Acute Pain Management. New York: McGraw-Hill Medical Pub. Division; 2007:412–3.
4. Despond O, Kohut GN. Broken interscalene brachial plexus catheter: surgical removal or not? Anesth Analg. 2010 Feb 1;110(2):643-4. doi: 10.1213/ane.0b013e3181c62a05. PMID: 20081147.
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| How to Cite this Article: Rane S, Shetty V, Prasad S, Bhargava R | Shearing and Migration of Interscalene Catheter After an Uncomplicated Ultrasound Guided Placement | International Journal of Regional Anaesthesia | July-December 2021; 2(2): 137-140.
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I have observed that online education is getting well-known because attaining your degree online has developed into a popular alternative for many people. A huge number of people have certainly not had a possibility to attend a regular college or university but seek the raised earning potential and a better job that a Bachelor Degree gives you. Still other people might have a qualification in one training but would choose to pursue anything they already have an interest in.
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One thing I have actually noticed is the fact that there are plenty of common myths regarding the banking institutions intentions when talking about property foreclosures. One delusion in particular is the fact that the bank would like your house. The bank wants your cash, not your property. They want the amount of money they loaned you together with interest. Preventing the bank will still only draw the foreclosed conclusion. Thanks for your post.
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