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Anesth Analg 2002;95:1087-1089
© 2002 International Anesthesia Research Society

REGIONAL ANESTHESIA

The Breaking of an Intrathecally-Placed Epidural Catheter During Extraction

Stella Ugboma, MD, Xuan Au-Truong, MD, Leonard I. Kranzler, MD, Saleh H. Rifai, MD, Ninos J. Joseph, BS, and M. Ramez Salem, MD

Department of Anesthesiology and Department of Surgery, Section of Neurosurgery, Advocate Illinois Masonic Medical Center, Chicago, Illinois

Address correspondence and reprint requests to Xuan Au-Truong, MD, Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave., Chicago, IL 60657. Address e-mail to ninos-j.joseph{at}advocatehealth.com

IMPLICATIONS: Misplacement of an epidural catheter into the subarachnoid space is a recognized complication. However, breakage of an intrathecal epidural catheter during removal presents a dilemma. Appropriate imaging, a neurosurgical consultation, and aggressive surgical exploration and extraction of the retained piece are warranted, even in the asymptomatic patient.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.