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Managing a Broken Epidural Catheter: Conundrum for an Anaesthetist
Dhanashri Karkhanis
1
, Jhanvi S Bajaj
2
, Deepa Kane
2
Department of Anaesthesia,
1
Tata Memorial Hospital, Mumbai;
2
Seth 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
Abstract
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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© 2011 Journal of Case Reports
Last updated on Oct 11, 2025