Retained epidural catheter: A rare complication. Report of two cases
Introduction: 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 interventions: Two 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 t hen rupture; both cases required surgical removal.
Conclusion. To 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.
2. Galindo-Gualdrón LA. Dosis de prueba para anestesia regional. Rev Colomb Anestesiol. 2014;42:47-52
3. Tornero JC, Gómez M, Fabregat G, Aliaga F, Roqués F, Escamilla B. Complicaciones tras técnicas de anestesia regional. Rev Esp Anestesiol Reanim. 2008;55:552-62.
4. Chang P,Hu J, Lin YChan K, Tsou M. Butterfly like knotting of a lumbar epidural catheter. Acta Anaesthesiol Taiwan. 2010;48:45-8.
5. Román J, Reina M, López A, De Luis E, Fernández M, Escobar J. Atrapamiento de un catéter epidural. Reconstrucción de imágenes de tomografía computarizada. Rev Esp Anestesiol Reanim. 2008;55:640-3.
6. Lee Y, Hwang H, Sim W Yang M, Lee C. Breakage of a thoracic epidural catheter during its removal. A case report. Korean J Anesthesiol. 2010;58:569-72.
7. Tarukado K, Oda T, Tono O, Suetsugu H, Doi T. A retained epidural catheter fragment treated by surgery. Asian Spine J. 2015;9:461-4.
8. Hermanides J, Hollmann M, Stevens M, Lirk P. Failed epidural: causes and management. Br J Anaesth. 2012;109:144-54.
9. Morris G, Warren B, Hanson E, Mazzeo F, DiBenedetto D. Influence of patient position on withdrawal forces during removal of lumbar extradural catheters. Br J Anaesth. 1996;77:419-20.
10. Pant D, Jain P, Kanthed P, Sood J. Epidural catheter breakage: a dilemma. Indian J Anaesth. 2007;51:434-7.
11. Renehan E, Peterson R, Penning J, Rosaeg O, Chow D. Visualization of a looped and knotted epidural catheter with a guidewire. Can J Anaesth. 2000;47:329-33.
12. Hobaika ABS. Quebra de cateteres peridurais: etiologia, prevencáo e conduta. Rev Bras Anestesiol. 2008;58:227-33.
The Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.) is the owner of all copyrights to any articles published in the journal. Published manuscripts become the permanent property of S.C.A.R.E. and may not be published elsewhere without written permission. S.C.A.R.E. keeps the right to use these manuscripts in any form, including print, video, audio and digital.
Creative Commons License
Open-access articles can be read, downloaded and shared on a free basis upon publication. The Journal publishes all articles under the CCBY- NC-ND license. Attribution-NonCommercial-NoDerivs: CC BY- NC-ND. Of the six main licenses, this is the most restrictive because it only allows others to download and share articles as long as they give credit to the author, but they cannot in any way change the paper or use it commercially.