- 경막외 Morphine 투여에 의한 극심한 호흡억제 및 두개강내 공기음영
- ㆍ 저자명
- 강미경,문동언,서재현,Kang. Mi-Gyeong,Moon. Dong-Eon,Suh. Jae-Hyun
- ㆍ 간행물명
- 大韓痛症學會誌
- ㆍ 권/호정보
- 1993년|6권 2호|pp.270-274 (5 pages)
- ㆍ 발행정보
- 대한통증학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Massive extradural spread, distinguished from subarachnoid injection that sometimes follows the introduction of small amounts of local anesthetics or narcotics during attempted epidural anesthesia or analgesia, has been attributed to subdural injection. A 64-year-old woman was admitted for partial radical hysterectomy under general anesthesia after insertion of lumbar epidural cathter by loss of resistance technique with 5 ml of air. In this case, we experienced severe respiratory depression and loss of consciousness after administration of 4 mg of morphine for postoperative pain control. We confirmed air shadows at right silvian and suprasella cisterna region by CT scanning. Patients was recovered without sequele after 2 days, As this case resembles a "massive epidural", it is suggested that subdural injection rather than epidural injection may explain the phenomenon.