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Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
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2019, Number 1

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Rev Mex Anest 2019; 42 (1)

True knot in peridural catheter. A case report

Garabito-López JA
Full text How to cite this article

Language: Spanish
References: 5
Page: 68-71
PDF size: 244.77 Kb.


Key words:

Epidural anesthesia, complication, laminectomy, knotted epidural catheter.

ABSTRACT

Epidural anesthesia is a technique that is performed blindly and therefore is not free of complications, among them, a rare complication is the formation of a true knot. We discuss the case of a pregnant woman in whom an epidural block with a true knot formation was placed, which was surgically removed. Conclusion: If an epidural catheter cannot be removed easily, maneuvers described for removal should be applied and imaging studies such as CT or MRI may be used to determine the shape and position of the catheter and whether the catheter has communication with the outside must be extracted surgically.


REFERENCES

  1. Mireles-Cano JN, Andrade-Aguilar CI, García-González OG, Orozco-Ramírez SM, Arévalo-Rivas BI. Extracción quirúrgica de fragmento de catéter en espacio epidural. Reporte de un caso y revisión de la literatura. Revista Mexicana de Anestesiología. 2014; 37: 113-119.

  2. Park JT, Cho DW, Lee YB. Knotting of a cervical epidural catheter in the patient with post-herpetic neuralgia: a rare complication. J Lifestyle Med. 2017; 7: 41-44.

  3. Chang PY, Hu J, Lin YT, Chan KH, Tsou MY. Butterfly-like Knotting of a lumbar epidural catheter. Acta Anaesthesiol Taiwan. 2010; 48 (1): 45-48.

  4. Román JA, Reina MA, López A, Luis E De, Fernández MS, Escobar JM. Atrapamiento de un catéter epidural. Reconstrucción de imágenes de tomografía computarizada. Rev Esp Anestesiol Reanim. 2008; 55: 640-643.

  5. Esqueda-Arriaga MA, Martínez-Arriaga GJ. Extracción quirúrgica de catéter peridural retenido. Reporte de un caso. Rev Mex Anest. 2009; 32: 191-195.




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C?MO CITAR (Vancouver)

Rev Mex Anest. 2019;42