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Journal of Case Reports
Managing a Broken Epidural Catheter: Conundrum for an Anaesthetist
Dhanashri Karkhanis1, Jhanvi S Bajaj2, Deepa Kane2
Department of Anaesthesia, 1Tata Memorial Hospital, Mumbai; 2Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Corresponding Author:
Jhanvi S Bajaj
Email: jhanvi.s.bajaj@gmail.com
Received: 03-SEP-2019 Accepted: 06-MAR-2020 Published Online: 30-MAR-2020
DOI: http://dx.doi.org/10.17659/01.2020.0017
Background: Neuraxial blockade is an efficient anesthetic technique, routinely practiced by anesthesiologists. Placement of an epidural catheter is a relatively safe and routine process but it can have complications like abscess, hematoma, dislodgement and breakage. This retained piece of broken fragment usually may have a benign outcome when left undisturbed but it can also have undesired sequelae. Case Report: We report a successful surgical extraction of an epidural catheter, stuck in the interspinous space and tissues, by superficial exploration aided by X-ray imaging before any catheter related complications occurred. Conclusion: Epidural drug delivery technique is used by anesthesiologist globally has its own side-effects; rare yet not unheard being a broken epidural catheter fragment. Thereby, it is essential to take the appropriate steps for conservation or intervention when in dilemma. 
Keywords : Abscess, Anesthesiologists, Epidural Anesthesia, Hematoma, Radiography, X-Rays.
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