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2023, Number 2

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Rev Mex Anest 2023; 46 (2)

Broken epidural catheter, a rare complication

Meléndez-Ordoñez JA, Hernández-Ortiz II, Rojas-Terres R, Viveros-Peralta IB

Language: Spanish
References: 11
Page: 137-139
PDF size: 246.65 Kb.


ABSTRACT

Nowadays, neuraxial anesthesia is preferred due to its multiple advantages related to pain management. This procedure involves placing an epidural catheter within the epidural space, with rupture of the catheter being an uncommon complication. Its incidence is around 0.002 to 0.004%. The present work reports the case of a 77-year-old male who underwent a transurethral prostate resection, where the catheter broke while being removed. CT scan reported the presence of the catheter within subarachnoid space, without the patient presenting symptoms. It is important to understand that notifying the patient is a priority in case this complication happens, and then order imaging studies to locate the catheter. Finally, if symptoms are present, a laminectomy should be assessed to remove the remaining piece.


REFERENCES

  1. Marrón-Peña M. Historia de la anestesia gineco-obstétrica en México. Rev Mex Anestesiol. 2013; 36: 212-218.

  2. Peralta-Zamora E. Actualidades y nuevas perspectivas de la anestesia neuroaxial. Rev Mex Anestesiol. 2007; 30: 256-260.

  3. Franco A, Diz JC. The history of the epidural block. Current Anaesthesia & Critical Care. 2000; 11: 274-276.

  4. Hobaika AB. Breakage of epidural catheters: etiology, prevention, and management. Rev Bras Anestesiol. 2008; 58: 227-233.

  5. Tarukado K, Oda T, Tono O, Suetsugu H, Doi T. A retained epidural catheter fragment treated by surgery. Asian Spine J. 2015; 9: 461-464.

  6. Wang Z, Xie F, Lin W. Translaminar endoscopic approach to remove a broken epidural catheter fragment. J Clin Anesth. 2019; 58: 57-58.

  7. Marrón-Peña GM. Eventos adversos de la anestesia neuroaxial ¿Qué hacer cuando se presentan? Rev Mex Anestesiol. 2007; 30: 357-375.

  8. Hippalgaonkar AV, Kudalkar AG, Gaikwad SM, Modak S, Gupta HB, Tendolkar BA. Successful management of a broken epidural catheter!!! Saudi J Anaesth. 2017; 11: 228-231.

  9. Mitra R, Fleischmann K. Management of the sheared epidural catheter: is surgical extraction really necessary? J Clin Anesth. 2007; 19 (4): 310-4. Disponible en: http://dx.doi.org/10.1016/j.jclinane.2006.11.005

  10. Staats PS, Stinson MS, Lee RR. Lumbar stenosis complicating retained epidural catheter tip. Anesthesiology. 1995; 83: 1115-1118.

  11. Castro-Rodríguez CA, López-Herranz P. Retención de fragmento de catéter dentro del espacio epidural. Reporte de un caso. Rev Med del Hosp Gen Mex. 2002; 65: 159-163.




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