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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 90-91

Retained broken epidural catheter: What to do?


1 Junior Resident, IGIMS, Patna, India
2 Assistant Professor, Dept. of Anesthesiology, IGIMS, Patna, India
3 Associate Professor, Dept. of General Surgery, IGIMS, Patna, India
4 Professor & Head, Dept. of Gynecologic Oncology, IGIMS, Patna, India

Correspondence Address:
Nidhi Arun
Assistant Professor, Dept. of Anesthesiology, IGIMS, Patna
India
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Source of Support: None, Conflict of Interest: None


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Background: Epidural anaesthesia / analgesia is a safe and routinely performed procedure by the anaesthesiologists. Although rare, but there have been many instances of epidural catheter breakage. We present a case report of We present a case report of a 38 years old female posted for vaginal hysterectomy under combined spinal epidural anesthesia. During the procedure, while negotiating the epidural catheter in epidural space, it got sheared off at 5cm mark inside the back. Severed catheter in the back could not be visualized under C- arm digital X ray. Plan for spinal epidural lumbar anesthesia was abandoned and surgery was performed under general anesthesia which was uneventful. CT followed by USG was done to locate the severed catheter on 2nd post-operative day. Severed catheter could not be visualized and surgical removal was not attempted. The patient was informed of the event and counselled to report in case of any adverse symptoms. Conclusion: We want to convey that surgical removal of retained broken catheter should not be attempted routinely as it could provide more complication than leaving it in situ.


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