• Anesthesia and analgesia · Oct 2002

    Case Reports

    The breaking of an intrathecally-placed epidural catheter during extraction.

    • Stella Ugboma, Xuan Au-Truong, Leonard I Kranzler, Saleh H Rifai, Ninos J Joseph, and M Ramez Salem.
    • Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois 60657, USA.
    • Anesth. Analg. 2002 Oct 1;95(4):1087-9, table of contents.

    ImplicationsMisplacement of an epidural catheter into the subarachnoid space is a recognized complication. However, breakage of an intrathecal epidural catheter during removal presents a dilemma. Appropriate imaging, a neurosurgical consultation, and aggressive surgical exploration and extraction of the retained piece are warranted, even in the asymptomatic patient.

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