Retained epidural catheter: A rare complication. Report of two cases

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• 作者：Rodrigo A. Molina-Garcí ; a^a ; ^{rodrigomolina22@hotmail.com} ; Ana Catalina Muñ ; oz-Martí ; nez^b ; Roxanna Hoyos-Pescador^c ; Ramó ; n De la Torre-Espinosa^d
• 关键词：Anesthesia ; epidural ; Catheters ; Epidural space ; Postoperative complications ; Rupture
• 刊名：Colombian Journal of Anesthesiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：45
• 期：supp_S1
• 页码：4-7
• 全文大小：1033 K
• 卷排序：45

文摘

Inserting a catheter into the epidural space is an anesthetic technique, not exempt from complications. Catheter knotting and retention are rare complications.Clinical findings, diagnostic evaluation and interventionsTwo cases of epidural catheter-associated complications are discussed. The first was due to the development of a spontaneous knot and the second due to retention and then rupture; both cases required surgical removal.ConclusionTo prevent these potential complications, refrain from passing excessive catheter length and do not leave more than 5 cm of catheter into the epidural space. If a catheter cannot be easily removed, try using several maneuvers and if these fail or there is any pain or paresthesia, diagnostic imaging is required to locate the catheter and request neurosurgery support.