The Complicated Uncomplicated Epidural Placed Under General Anesthesia: A Complete Spinal in the Post-Anesthesia Recovery Unit
Bibliographic record
Abstract
Placement of an epidural catheter under general anesthesia in children is associated with more neurologic complications as compared to placement when the patient is awake. The anesthetized patient cannot communicate the symptoms of an intrathecal placement. A 5-year-old boy had an epidural catheter placed after induction of general anesthesia. Negative aspiration of cerebral spinal fluid (CSF) was confirmed. The patient had intraoperative hypotension without bradycardia during the use of the catheter. In the post-operative recovery unit, the patient developed apnea and signs of a high spinal. Intrathecal placement of an epidural catheter is not a rare or unexpected complication of epidural analgesia. However, in an anesthetized child with negative aspiration of CSF combined with the inability of the patient to communicate the signs of a high spinal a delay in diagnosis may occur. Our case report highlights the importance of identifying intrathecal placement of an epidural catheter under general anesthesia. J Med Cases. 2014;5(11):564-566 doi: http://dx.doi.org/10.14740/jmc1938w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".