Catheter breakage during epidural anesthesia


Cite item

Full Text

Abstract

Difficulties during epidural catheter removing occur rather rarely. We present the description of two such cases. Both of them were connected with using of Perifix ONE catheter. The paper discusses the reasons causing the difficulties during catheter removing, doctor’s tactics in similar situations, and indications for surgical extraction of the rest fragment of epidural catheter.

About the authors

Victor A. Koryachkin

FSBI “P.P. Vreden Russian Scientific Research Institute of Traumatology and Orthopedics” MHC of RF

Email: vakoryachkin@mail.ru
195427, Saint-Petersburg

M. P. Mal’tsev

FSBI “P.P. Vreden Russian Scientific Research Institute of Traumatology and Orthopedics” MHC of RF

195427, Saint-Petersburg

M. A. Lis’kov

FSBI “P.P. Vreden Russian Scientific Research Institute of Traumatology and Orthopedics” MHC of RF

195427, Saint-Petersburg

M. Mokhanna

FSBI “P.P. Vreden Russian Scientific Research Institute of Traumatology and Orthopedics” MHC of RF

195427, Saint-Petersburg

Ye. V Geras’kov

FSBI “P.P. Vreden Russian Scientific Research Institute of Traumatology and Orthopedics” MHC of RF

195427, Saint-Petersburg

References

  1. Hoshi T., Miyabe M., Takahashi S., Toyooka H. Evaluation of the Arrow Flex Tip Plus epidural catheter tip position and migration during continuous thoracic analgesia. Can J Anaesth. 2003; 50: 202-203.
  2. Brichant J. F., Bonhomme V., Hans P. On knots in epidural catheters: A case report and a review of the literature. Int J Obstet Anesth. 2006; 15: 159-162.
  3. Tsui B. C., Finucane B. Tensile strength of 19- and 20-gauge arrow epidural catheters. Anesth Analg. 2003; 97: 1524-1526.
  4. Sim W. S., Choi J. W., LeeC. J., NahmF. S., Lee S. H., Shin B. S., Cho H. S.The influence of patient position on withdrawal force of thoracic epidural catheters. Anaesthesia. 2012; 67: 19-22.
  5. Ugboma S., Au-Truong X., Kranzler L. I., Rifai S. H., Joseph N. J., Salem M. R. The breaking of an intrathecally-placed epidural catheter during extraction. Anesth Analg. 2002 Oct; 95(4): 1087-1089.
  6. Renehan E. M., Peterson R. A., Penning J. P., Rosaeg O. P., Chow D. Visualization of a looped and knotted epidural catheter with a guide wire. Can J Anaesth. 2000; 47: 329-333.
  7. Корячкин В. А. Нейроаксиальные блокады. Издательство: ЭЛБИ-СПб, 2013. 542 с.
  8. Fibuch E. E., McNitt J. D., Cussen T. Knotting of the TheracathTM after an uneventful epidural insertion for cesarean delivery (Letter). Anesthesiology. 1990; 73: 1293.
  9. Nishio I., Sekiguchi M., Aoyama Y., Asano S., Ono A. Decreased tensile strength of an epidural catheter during its removal by grasping with a hemostat. Anesth Analg. 2001; 93: 210-212.
  10. Gulcu N., Karaaslan K., Kandirali E. Kocoglu H. Detection of a retained epidural catheter fragment. Reg Anest Pain Med. 2006; 31: 589-590.
  11. Корячкин В. А., Страшнов В. И. Эпидуральная и спинномозговая анестезия Санкт-Петербургское медицинское издательство - СПб: Санкт-Петербургское медицинское издательство, 1997. 96 с.
  12. Demiraran Y., Yucel I., Erdogmus B. Subcutaneous effusion resulting from an epidural catheter fragment. Br J Anaesth. 2006 Apr; 96(4): 508-509.
  13. Morris G. N., Warren B. B., Hanson E. W., Mazzeo F. J., DiBenedetto D. J. Influence of patient position on withdrawal forces during removal of lumbar extradural catheters. Br J Anaesth. 1996 Sep; 77(3): 419-420.
  14. Kendall M. C., Nader A., Maniker R. B., McCarthy R. J. Removal of a knotted stimulating femoral nerve catheter using a saline bolus injection. Local Reg Anesth. 2010; 3: 31-34.
  15. Asai T., Yamamoto K., Hirose T., Taguchi H., Shingu K. Breakage of epidural catheters: A comparison of an Arrow reinforced catheter and other nonreinforced catheters. Anesth Analg. 2001; 92: 246-248.
  16. Joselyn A., Bhalla T., Schloss B., Martin D., Tobias J. A case report of a retained and knotted caudal catheter. Saudi J Anaesth. 2014; 8: 424-427.
  17. Shantha T. R., Mani M. A simple method to retrieve irretrievable epidural catheters. Anesth Analg. 1991; 73: 508-509.
  18. Mitra R., Fleischmann K. Management of the sheared epidural catheter: Is surgical extraction really necessary? J Clin Anesth. 2007; 19: 310-314.

Copyright (c) 2015 Eco-Vector


 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies