Difficult extubation caused by knotting of an epidural catheter:a case report

Author:

Den Nianhua1,Chen Xiaocong1,Quan Shoubo1

Affiliation:

1. Dongguan Songshan Lake Central Hospital

Abstract

Abstract Background Combined spinal-epidural (CSE) anaesthesia is the preferred anesthesia method for cesarean delivery. However, it is very rare in knotting of epidural catheters that most require surgery to remove the catheter. Case presentation: A 30-year-old parturient with a difficulty in epidural catheter extraction after cesarean section. CT scan revealed that the catheter had formed a tight knot in the epidural space. We reviewed relevant case reports and summarized the latest research progress, We removed the catheter by non-invasive means of opening the joint to the maximum extent possible. Conclusion This case suggests that in cases of difficulty in catheter removal, immediate use of imaging techniques such as CT scan should be recommended to assess the catheter's positioning and trajectory. Demonstrate our method is a simple, cost-effective treatment that clinicians can implementeasily and quickly into routine practice.

Publisher

Research Square Platform LLC

Reference22 articles.

1. Knotting of an epidural catheter: a rare complication;Arnaoutoglou HM;Acta anaesthesiologica Belgica,2007

2. Advancing an epidural catheter 10 cm then retracting it 5 cm is no more effective than advancing it 5 cm;Cartagena Rafael GRR;J Clin Anesth,2005

3. Beilin Y, Zucker-Pinchoff HHBB. The Optimal Distance That a Multiorifice Epidural Catheter Should Be Threaded into the Epidural Space. Volume 81. Anesthesia & Analgesia; 1995. pp. 301–4. 2.

4. Knotting of the Theracath™ after an Uneventful Epidural Insertion for Cesarean Delivery;Fibuch EE;Anesthesiology,1990

5. On knots in epidural catheters: A case report and a review of the literature International;Brichant JF;J Obstetric Anesth,2006

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