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Abstract

Today, outpatient surgery rates are increasing due to high hospital costs, and home going catheters provide excellent pain control for orthopedic and traumatology patients. Peripheral nerve catheters are usually removed 2-5 days postoperatively and are assumed to be easy and painless with a short training for ambulatory patients. It is a great comfort for the patients to be sent home with a catheter to provide good pain control, but they have to remove the catheter themselves or a relative at home. A possible problem is the removal of the catheter can cause serious anxiety to patients and their relatives, hence it is a very frustrating situation for patients especially who come from hundreds of miles away. In this report, we review the stimulating perineural catheter entrapment cases in the literature after describing our similar case and predict possible entrapment causes and propose management strategies for the safe removal of these peripheral nerve block catheters. CaseA 72 you female with PMH of two right shoulder surgery, Obstructive Sleep Apnea, Hypertension, Rheumatoid Arthritis, Depression, Hypothyroidism, Bipolar Disorder, and Fibromyalgia was Scheduled for right Reverse Total Shoulder Arthroplasty. On the day of surgery, the stimulated interscalene catheter (Arrow, StimuCath® Peripheral Nerve Catheter, PA, USA) was placed under Ultrasound guidance preoperatively without bolus local anesthetic. removal, the neck pain disappeared but the numbness in my fingers