Surgical removal of a looped and knotted epidural catheter in a postpartum patient--a case report.

نویسندگان

  • O Al-Kayed
  • F Al-Bouti
  • M O Ababneh
چکیده

We report a case of unsuccessful removal of an epidural catheter in a postpartum patient following a labour epidural analgesia, which ultimately required surgical intervention and fenestration ligamentum flavum to remove the epidural catheter. A 26 year old, requested an epidural analgesia for her labour pain. The epidural catheter was inserted under aseptic technique, and she was comfortable throughout her labour and had a normal vaginal delivery 4 hours later. One hour later, the acute pain nurse tried to remove the epidural catheter and encountered difficulty, she reported this to the resident on call, who also tried and found it unusually difficult to remove. A senior consultant was involved where he found a high resistance, several methods had been tried unsuccessfully. Surgical removal was the option, patient and partner were informed and consented, a neurosurgeon was consulted. Through a small incision (1 inch) a fenestration of ligamentum flavum was performed and a knotted and looped epidural catheter was removed. Patient was discharged next day, and in the follow up and subsequent visits patient remained well with no other complaints.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Spinal anesthesia for hernia surgery in a child with laryngomalacia

1. Pant D, Jain P, Kanthed P and Sood J. Epiduralcatheter breakage: A dilemma. Indian J Anaesth 2007;51:434‐7. 2. Al‐Kayed O, Al‐Bouti F, Ababneh MO. Surgical removal of a looped and knotted epidural catheter in a postpartum patient: A case report. Middle East J Anesthesiol 2008;19: 913‐8. 3. Pasquariello C, Betz R. A case for the removal of the retained intrathecal catheter. Anesth Analg 1991;...

متن کامل

به دام افتادن کاتتر اپیدورال به هنگام خارج‌سازی: گزارش موردی

Background: Epidural catheters are seldom difficult to remove from patients. The breakage of the catheters is uncommon, troublesome and occasionally dangerous. Case presentation: A lumbar epidural catheter inserted in a 17 year-old man for applying anesthesia for internal fixation of femur fracture and subsequent postoperativeepidural analgesia. In the third postoperative day, duri...

متن کامل

Knotting of a Cervical Epidural Catheter in the Patient with Post-Herpetic Neuralgia: A Rare Complication

Epidural block is achieved either by single injection of local anesthetic through an epidural needle or as a continuous block by infusion pump through an epidural catheter. Complications associated with epidural catheters include breakage, entrapment, and knotting. Knotting of epidural catheters is very rare, but knotting in lumbar epidural catheters has been reported in a number of studies, an...

متن کامل

Removal of a knotted stimulating femoral nerve catheter using a saline bolus injection

OBJECTIVE Stimulating peripheral nerve catheters have become increasingly popular as part of postoperative multimodal analgesia for total knee arthroplasty. We describe a case of a successful nonsurgical removal of a knotted stimulating femoral nerve catheter after saline expansion of the catheter pocket at the bedside. CASE REPORT A 65-year-old female underwent total knee arthroplasty under ...

متن کامل

Lymphangioma of the Thoracic Spine with Epidural Compression: A Case Report

Lymphangiomas are benign lesions consisting of abnormal proliferations of lymphatic vessels. Lymphangiomas associated with bone involvement, particularly in vertebral bodies, accompanied by cord compression, are extremely rare, and our literature review yielded only a few relevant reports. We describe a 61-year-old man presenting with progressive paraparesis and sphincter disturbance of 5 month...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Middle East journal of anaesthesiology

دوره 19 4  شماره 

صفحات  -

تاریخ انتشار 2008