Epidural catheter breakage

Pereira, E.; Correia, J.; Fernandes, M.

doi:10.1016/j.redare.2017.12.006

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The symptoms had started three years after labor analgesia with an epidural catheter. No mention of catheter breakage had been made to her at that time, and the presence of a retained foreign body had never been reported. She underwent tomography scan which revealed a foreign body adjacent to the inferior articular process of L1 (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). The patient was referred to neurosurgery, where surgical extraction was decided. At discharge, the patient showed improvement in symptoms. Breakage of an epidural catheter is a rare but serious adverse event. Catheter fragments are inert and unlikely to create a foreign body reaction. In these situations, the patient must be followed up as an outpatient. In this specific case, the patient presented an unknown delayed clinical presentation. Correct identification of a broken catheter on X-ray is difficult, even with the latest techniques and equipment.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Pereira E, Correia J, Fernandes M. Rotura de catéter epidural. Rev Esp Anestesiol Reanim. 2018;65:124." ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 602 "Ancho" => 950 "Tamanyo" => 66355 ] ] "descripcion" => array:1 [ "en" => "Tomography scan of the lumbar spine, axial plane, with a foreign body adjacent to the inferior articular process of L1." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 518 "Ancho" => 950 "Tamanyo" => 55549 ] ] "descripcion" => array:1 [ "en" => "Tomography scan of the lumbar spine, sagittal plane, with a foreign body adjacent to the inferior articular process of L1." ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000002/v1_201802090832/S234119291730207X/v1_201802090832/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000002/v1_201802090832/S234119291730207X/v1_201802090832/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119291730207X?idApp=UINPBA00004N"]

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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 65. Issue 2.

Pages 124 (February 2018)

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