Epidural catheter section during combined epidural spinal anesthetic technique

Authors

  • Francisco Antonio Cevallos Sacoto Universidad de Cuenca Hospital Vicente Corral Moscoso https://orcid.org/0000-0001-7416-1956
  • Leonardo Alfredo Serrano Béjar
  • Lucía Fernanda Vásquez Guapisaca
  • Fanny Gabriela Tamay Tamay

Keywords:

catéter epidural, ruptura, raquídea epidural combinada, complicaciones, reporte de caso.

Abstract

The use of epidural catheters is a fundamental pillar of anesthesia. These have been safely employed for several decades; however, some complications usually occur. A rare one is its section, which if not properly managed generates significant morbidity.

It is presented the case of a patient receiving combined epidural spinal anesthesia. The technique used, both for the placement of the catheter and for its removal, was apparently correct; however, it suffered a section when removed. In the subsequent images it was evident that the catheter was accidentally placed in the paravertebral space. A mechanism of rupture not yet described in the literature is theorized. It is published with the aim of showing the need for individualization in the management of this accident, whether expectant or surgical according to the clinical conditions of each patient.

Keywords: Epidural catheter; section; combined epidural spinal; complications; case report.

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Author Biography

Francisco Antonio Cevallos Sacoto, Universidad de Cuenca Hospital Vicente Corral Moscoso

Especialista en Anestesiología y Reanimación del Hospital Vicente Corral Moscoso

Docente del posgrado de Anestesiología de la Universidad de Cuenca 

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Published

2022-05-02

How to Cite

1.
Cevallos Sacoto FA, Serrano Béjar LA, Vásquez Guapisaca LF, Tamay Tamay FG. Epidural catheter section during combined epidural spinal anesthetic technique. Rev Cub Anest Rean [Internet]. 2022 May 2 [cited 2024 Dec. 22];21(1). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/736

Issue

Vol. 21 No. 1 (2022): enero-abril

Section

Case reports

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