Case ReportInternational Journal of Research in Medical Sciences
Publication: Management of a ruptured epidural catheter, an anesthesiologist's dilemma: a case report
Int J Res Med Sci. 2021;9(1):282-284.DOI10.18203/2320-6012.ijrms20205414
Abstract
Epidural anesthesia is a widely used anesthetic technique in lower extremity surgeries although it is a relatively safe procedure, it can have complications, such as rupture of the epidural catheter. This is a 69-year-old male patient with a diagnosis of Wagner IV diabetic foot is presented, which was scheduled for left supracondylar amputation in which after epidural block, retention of the catheter tip in the epidural space at level L2-L3 was seen, so hemi laminectomy was performed in a second surgical stage in L2 and removal of the epidural catheter. Ideally a broken needle should be removed as soon as possible.
Keywords
Affiliations
- Department of Anesthesiology, Angeles del Pedregal Hospital, CDMX
- Department of Traumatology, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX
- Department of Hand Surgery, Central Military Hospital, CDMX
- Department of Peripheral Vascular Surgery, Central Military Hospital, CDMX
- Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX
- Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX
- Department of Cardiac Electrophysiology Clinic and Arrhythmias, Anesthesiology Service, General Hospital of CDMX
- Faculty of Medicine, UNAM, CDMX
- Department of Surgery, General Regional Hospital No 1 Morelia, IMSS
- Department of Surgery, Angeles Villahermosa Hospital,
- Department of Surgery, High Specialty Regional Hospital Zumpango
- Department of General Surgery, Creighton University Medical Center, Omaha, Nebraska
- Laboratory of Experimental Immunotherapy and Tissue Engineering, Faculty of Medicine, UNAM, CDMX, Mexico