Sectioned epidural catheter
A case report and review of literature
Keywords:
OBSTETRICAL ANALGESIA, EPIDURAL CATHETER, CASE REPORT
Abstract
Rupture and retention of an epidural catheter fragment is a rare complication of epidural analgesia. Although it generally requires expectant management and evolves without major complications, the event is important given the lack of evidence regarding treatment and considering it can lead to a neurosurgical intervention, what involves risks and complications. The study describes the case of a patient whose complication was the rupture and retention of a fragment of an epidural catheter during labor analgesia.
References
1) Collier C. Epidural catheter breakage: a possible mechanism. Int J Obstet Anesth 2000; 9(2):87-93.
2) The 3rd National Audit Project of the Royal College of Anaesthetists. Major complications of central neuraxial block in the United Kingdom. London: Royal College of Anaesthetists, 2009.
3) Bonica JJ, Backup PH, Anderson CE, Hadfield D, Crepps WF, Monk BF. Peridural block: analysis of 3,637 cases and a review. Anesthesiology 1957; 18(5):723-84.
4) Hobaika AB. Breakage of epidural catheters: etiology, prevention, and management. Rev Bras Anestesiol 2008; 58(3):227-33.
5) Álvarez C, Illescas L, Núñez M, Perioperatorio y analgesia regional obstétrica. Montevideo: Bibliomédica, 2017.
6) Mitra R, Fleischmann K. Management of the sheared epidural catheter: is surgical extraction really necessary? J Clin Anesth 2007; 19:310-4.
7) Pant D, Jain P, Kanthed P, Sood J. Epidural catheter breakage: a dilemma. Indian J Anaesth 2007; 51:434-7.
8) Singh R, Arshad Z, Prakash R, Ponnappan K, Kushwaha B. Broken epidural catheter; a rare complication. J Case Rep Pract 2014; 2:72-3.
9) Carneiro S, Pinto C. Sheared epidural catheter: what now? Eur J Anaesthesiol 2013; 30:125.
10) Mireles-Cano JN, Andrade-Aguilar CI, García-González OG, Orozco-Ramírez SM, Arévalo-Rivas BI. Extracción quirúrgica de fragmento de catéter en espacio epidural. Reporte de un caso y revisión de la literatura. Rev Mex Anest 2014; 37(2):113-9.
11) Drake M. Broken epidural catheter. Anaesthesia 2012; 67(7):803-4.
12) García-Vázquez D, Delgadillo-Guzmán D, Covarrubias-Torres N, Galarza M. Retención de catéter epidural sin formación de nudo, una complicación poco frecuente. Reporte de caso. Anest Méx 2020; 32(3):60-4.
13) Garabito-López JA. Nudo verdadero en catéter peridural. Reporte de un caso. Rev Mex Anestesiol 2019; 42(1):68-71.
14) Kasivisvanathan R, Sodhi M, Setty S. The broken epidural catheter: to remove or not to remove? Br J Hosp Med (Lond) 2012; 73(12):718.
15) Blanchard N, Claubeau JJ, Ossart M, Dekens J, Legars D, Tchaoussoff J. Radicular pain due to a retained fragment of epidural catheter. Anesthesiology 1997; 87(6):1567-9.
16) Patel A, Adsul N, Mahajan S, Chahal RS, Kalra KL, Acharya S. Incidental unintentional breakage of epidural catheter in supralaminar area: a case report. Surg Neurol Int 2021; 12:129.
17) Hippalgaonkar AV, Kudalkar AG, Gaikwad SM, Modak S, Gupta HB, Tendolkar BA. Successful management of a broken epidural catheter!!! Saudi J Anaesth 2017; 11(2):228-31.
18) Castro-Rodríguez CA, López-Herranz P. Retención de fragmento de catéter en el espacio epidural. Rev Med Hosp Gen Mex 2002; 65(3):159-63.
2) The 3rd National Audit Project of the Royal College of Anaesthetists. Major complications of central neuraxial block in the United Kingdom. London: Royal College of Anaesthetists, 2009.
3) Bonica JJ, Backup PH, Anderson CE, Hadfield D, Crepps WF, Monk BF. Peridural block: analysis of 3,637 cases and a review. Anesthesiology 1957; 18(5):723-84.
4) Hobaika AB. Breakage of epidural catheters: etiology, prevention, and management. Rev Bras Anestesiol 2008; 58(3):227-33.
5) Álvarez C, Illescas L, Núñez M, Perioperatorio y analgesia regional obstétrica. Montevideo: Bibliomédica, 2017.
6) Mitra R, Fleischmann K. Management of the sheared epidural catheter: is surgical extraction really necessary? J Clin Anesth 2007; 19:310-4.
7) Pant D, Jain P, Kanthed P, Sood J. Epidural catheter breakage: a dilemma. Indian J Anaesth 2007; 51:434-7.
8) Singh R, Arshad Z, Prakash R, Ponnappan K, Kushwaha B. Broken epidural catheter; a rare complication. J Case Rep Pract 2014; 2:72-3.
9) Carneiro S, Pinto C. Sheared epidural catheter: what now? Eur J Anaesthesiol 2013; 30:125.
10) Mireles-Cano JN, Andrade-Aguilar CI, García-González OG, Orozco-Ramírez SM, Arévalo-Rivas BI. Extracción quirúrgica de fragmento de catéter en espacio epidural. Reporte de un caso y revisión de la literatura. Rev Mex Anest 2014; 37(2):113-9.
11) Drake M. Broken epidural catheter. Anaesthesia 2012; 67(7):803-4.
12) García-Vázquez D, Delgadillo-Guzmán D, Covarrubias-Torres N, Galarza M. Retención de catéter epidural sin formación de nudo, una complicación poco frecuente. Reporte de caso. Anest Méx 2020; 32(3):60-4.
13) Garabito-López JA. Nudo verdadero en catéter peridural. Reporte de un caso. Rev Mex Anestesiol 2019; 42(1):68-71.
14) Kasivisvanathan R, Sodhi M, Setty S. The broken epidural catheter: to remove or not to remove? Br J Hosp Med (Lond) 2012; 73(12):718.
15) Blanchard N, Claubeau JJ, Ossart M, Dekens J, Legars D, Tchaoussoff J. Radicular pain due to a retained fragment of epidural catheter. Anesthesiology 1997; 87(6):1567-9.
16) Patel A, Adsul N, Mahajan S, Chahal RS, Kalra KL, Acharya S. Incidental unintentional breakage of epidural catheter in supralaminar area: a case report. Surg Neurol Int 2021; 12:129.
17) Hippalgaonkar AV, Kudalkar AG, Gaikwad SM, Modak S, Gupta HB, Tendolkar BA. Successful management of a broken epidural catheter!!! Saudi J Anaesth 2017; 11(2):228-31.
18) Castro-Rodríguez CA, López-Herranz P. Retención de fragmento de catéter en el espacio epidural. Rev Med Hosp Gen Mex 2002; 65(3):159-63.
Published
2022-06-28
How to Cite
1.
Santiago A, Pérez de Palleja M, Dentella L. Sectioned epidural catheter. Rev. Méd. Urug. [Internet]. 2022Jun.28 [cited 2024Nov.22];38(2):e38212. Available from: https://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/889
Section
Clinical Cases
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
