The Breakage of Epidural Catheter during Continuous Epidural Analgesia for Cancer Pain - A case report -

Kim, Jongik; Kim, Deok-Kyu; Lee, Jeong-Woo; Son, Ji-Seon

doi:10.4097/kjae.2007.53.4.513

Korean J Anesthesiol

2007

DOI: 10.4097/kjae.2007.53.4.513

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The Breakage of Epidural Catheter during Continuous Epidural Analgesia for Cancer Pain - A case report -

Jongik Kim

Deok-Kyu Kim

Jeong-Woo Lee

et al.

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Cited by 2 publications

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“…It also has the advantages of preserving the diaphragm function, early extubation, decrease in atelectasis and pneumonia, early ambulation, and the prevention of intestinal ischemia by improving the microvascular perfusion, which may play a role in lowering the perioperative morbidity and mortality [ 1 , 2 ]. However, a range of complications including breakage, migration, kinking, and knotting can occur as the catheter is inserted in the epidural space [ 3 - 8 ]. Although an epidural catheter is normally removed without complications, the catheter can break under a range of conditions, such as the impact on the catheter during insertion or removal.…”

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Breakage of a thoracic epidural catheter during its removal -A case report-

Lee

Hwang

Sim

et al. 2010

Korean J Anesthesiol

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The breakage of an epidural catheter is a rare complication during the removal of a thoracic epidural catheter. There are many causes to breakage of an epidural catheter, such as the characteristics of the catheter itself, patient's factors (anatomy, position during insertion and removal of the catheter, and the BMI), and the difficulty of the procedure. Surgical removal is considered if there is a possibility that the retained catheter might cause neurological problems. We experienced a breakage of an epidural catheter during its removal, which led to surgical intervention. To prevent the catheter breakage during its removal, the catheter should be withdrawn without excessive tension. In addition, an understanding of the patient's anatomy is essential.

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confidence: 99%

Breakage of a thoracic epidural catheter during its removal -A case report-

Lee

Hwang

Sim

et al. 2010

Korean J Anesthesiol

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Fracture of the epidural catheter tip during epidural anesthesia

Abu-jajeh

Seif

Serhan

et al. 2022

Medicine: Case Reports and Study Protocols

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Introduction: Epidural anesthesia is a neuraxial technique that is widely used for surgical, obstetric, and chronic pain management. It involves injecting an anesthetic material into the epidural space through the intervertebral space using an epidural needle. Epidural anesthesia may result in complications including epidural hematoma, epidural abscess, and shearing of the epidural catheter. Breakage of the tip of the epidural catheter is a rare complication. Patient concerns: A 27-year-old primigravid woman, previously well, was admitted for normal vaginal delivery, for which she received epidural analgesia. After delivery, the epidural catheter was removed and the tip was missing. Diagnoses: A neurosurgical consultation requested magnetic resonance imaging of the lumbar spine with intravenous contrast. Magnetic resonance imaging failed to reveal any missing part. Interventions: A multidisciplinary team deferred surgical removal of the tip and followed-up with the patient. Outcomes: Weekly follow-up of 3 months showed no symptoms or neurological sequelae. Conclusions: Breakage of the epidural catheter tip is an infrequent complication of epidural anesthesia. An expert physician should insert or remove the epidural catheters. The decision between conservative and surgical management should be case-based, with open discussion with the patient.

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The Breakage of Epidural Catheter during Continuous Epidural Analgesia for Cancer Pain - A case report -

Cited by 2 publications

References 8 publications

Breakage of a thoracic epidural catheter during its removal -A case report-

Breakage of a thoracic epidural catheter during its removal -A case report-

Fracture of the epidural catheter tip during epidural anesthesia

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