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CORRESPONDENCE |
Migration of interscalene catheternot proven
* E-mail: awhg@btinternet.com
| The first 10% of the full text of this article appears below. |
EditorWe read with interest a recent Case Report in which the authors claim to document the migration of an interscalene catheter from the brachial plexus to the pleural cavity.1 Although the authors provide CT scan images to demonstrate that the tip of the catheter eventually achieved an intrapleural position, they provide no conclusive evidence that the catheter was not initially placed in this position, that is, they do not prove that migration occurred. The proof that they claim is that, having placed the catheter and injected bupivacaine 0.25% (20 ml) down it, and after shoulder manipulation had been performed under general anaesthesia, the patient
London, UK
* E-mail: alain.borgeat@balgrist.ch (originally eletter)
Zurich, Switzerland
* E-mail: carolinejenkins@cuhk.edu.hk