Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery
Vanessa B Davis,1 Mark Li,1 Flora Mian Li,1 Ryu Komatsu,2 Jiang Wu1 1Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA; 2Multi-Specialty Anesthesiology, Integrated Hospital-Care Institute, Cleveland Clinic, Cleveland, OH, USACorrespondence: Jia...
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Dove Medical Press
2025-07-01
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| Series: | International Medical Case Reports Journal |
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| Online Access: | https://www.dovepress.com/retrograde-surgical-placement-of-a-thoracic-epidural-catheter-in-a-pat-peer-reviewed-fulltext-article-IMCRJ |
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| author | Davis VB Li M Li FM Komatsu R Wu J |
| author_facet | Davis VB Li M Li FM Komatsu R Wu J |
| author_sort | Davis VB |
| collection | DOAJ |
| description | Vanessa B Davis,1 Mark Li,1 Flora Mian Li,1 Ryu Komatsu,2 Jiang Wu1 1Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA; 2Multi-Specialty Anesthesiology, Integrated Hospital-Care Institute, Cleveland Clinic, Cleveland, OH, USACorrespondence: Jiang Wu, Email jiangwu@uw.eduAbstract: Epidural anesthetic techniques for postoperative analgesia are rarely considered in spinal surgery, and high thoracic epidural analgesia (TEA) is considered medically risky. We present a successful case of surgical retrograde placement of a thoracic (T6-T7) epidural catheter under direct surgical visualization via T2 laminectomy in a patient who underwent combined thoracotomy and spinal surgery. TEA was confirmed by epidurogram, provided adequate postoperative pain relief, and the patient was discharged home three days post-surgery.Keywords: thoracic epidural analgesia, retrograde, laminectomy, thoracotomy |
| format | Article |
| id | doaj-art-b2ceafc4a5f449f3af6effe9144df4f9 |
| institution | DOAJ |
| issn | 1179-142X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj-art-b2ceafc4a5f449f3af6effe9144df4f92025-08-20T02:43:55ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2025-07-01Volume 18Issue 1785790104453Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal SurgeryDavis VB0Li M1Li FM2Komatsu R3Wu J4Anesthesiology & Pain MedicineAnesthesiology & Pain MedicineAnesthesiology & Pain MedicineMulti-Specialty AnesthesiologyAnesthesiology & Pain MedicineVanessa B Davis,1 Mark Li,1 Flora Mian Li,1 Ryu Komatsu,2 Jiang Wu1 1Department of Anesthesiology and Pain Medicine, University of Washington Medical Center, Seattle, WA, USA; 2Multi-Specialty Anesthesiology, Integrated Hospital-Care Institute, Cleveland Clinic, Cleveland, OH, USACorrespondence: Jiang Wu, Email jiangwu@uw.eduAbstract: Epidural anesthetic techniques for postoperative analgesia are rarely considered in spinal surgery, and high thoracic epidural analgesia (TEA) is considered medically risky. We present a successful case of surgical retrograde placement of a thoracic (T6-T7) epidural catheter under direct surgical visualization via T2 laminectomy in a patient who underwent combined thoracotomy and spinal surgery. TEA was confirmed by epidurogram, provided adequate postoperative pain relief, and the patient was discharged home three days post-surgery.Keywords: thoracic epidural analgesia, retrograde, laminectomy, thoracotomyhttps://www.dovepress.com/retrograde-surgical-placement-of-a-thoracic-epidural-catheter-in-a-pat-peer-reviewed-fulltext-article-IMCRJthoracic epidural analgesiaretrogradelaminectomythoracotomy |
| spellingShingle | Davis VB Li M Li FM Komatsu R Wu J Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery International Medical Case Reports Journal thoracic epidural analgesia retrograde laminectomy thoracotomy |
| title | Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery |
| title_full | Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery |
| title_fullStr | Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery |
| title_full_unstemmed | Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery |
| title_short | Retrograde Surgical Placement of a Thoracic Epidural Catheter in a Patient Undergoing Combined Thoracic and Spinal Surgery |
| title_sort | retrograde surgical placement of a thoracic epidural catheter in a patient undergoing combined thoracic and spinal surgery |
| topic | thoracic epidural analgesia retrograde laminectomy thoracotomy |
| url | https://www.dovepress.com/retrograde-surgical-placement-of-a-thoracic-epidural-catheter-in-a-pat-peer-reviewed-fulltext-article-IMCRJ |
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