Epidural abscess after multiple lumbar punctures for labour epidural catheter placement

Abstract

Epidural catheterization is routinely used by anaesthesiologists to provide labour and post-operative analgesia. In most cases, catheter placement is without serious side effects and uneventful. However, epidural abscess is a rare complication that may result in severe morbidity. We present a case of epidural abscess after labour epidural catheter placement in a healthy 36-year-old female who presented on post-partum d 10 with complaints of fever and back pain. She was treated with intravenous antibiotics and fully recovered.

Epidural analgesia for the treatment of colic attack with retrocaval ureter in late pregnancy complicated with marginal placenta previa: a case report

“…In this case, from the expiration date of autologous blood transfusion, we expected epidural catheter placement for about a week. There have been reports of epidural abscess in pregnant women [12], and it is evident that long-term placement increases the risk of epidural abscess. Pain management using epidural anesthesia in the retrocaval ureter in pregnant women should be used to prepare for cesarean section in a short time.…”

Spine surface detection from local phase‐symmetry enhanced ridges in ultrasound images

“…This can result in patient discomfort, accidental dural puncture, and potential trauma to the nerves, vessels, bones, and ligaments . Multiple insertion attempts could result in nerve damage causing epidural abscess infection . Other complications of neuraxial anesthesia involve spinal hematomas, bleeding diathesis, and left ventricular outflow obstruction.…”

“…3 Multiple insertion attempts could result in nerve damage causing epidural abscess infection. 4 Other complications of neuraxial anesthesia involve spinal hematomas, bleeding diathesis, and left ventricular outflow obstruction. X-ray-based fluoroscopy is the only competing real-time intra-operative modality with US, 5 but it is not portable and uses ionizing radiations.…”