Management of a ruptured epidural catheter, an anesthesiologist's dilemma: a case report

Authors

  • Rodrigo A. Mendoza-Aceves Department of Anesthesiology, Angeles del Pedregal Hospital, CDMX
  • Rodrigo Banegas-Ruiz Department of Traumatology, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX
  • Francisco F. Gómez-Mendoza Department of Hand Surgery, Central Military Hospital, CDMX
  • Rigoberto R. Román-Hernández Department of Peripheral Vascular Surgery, Central Military Hospital, CDMX
  • Jesica A. Aguirre-Ramírez Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX
  • Jesica K. R. C. León Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX
  • Paola G. G. Coronado Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX
  • Juan P. E. Torres Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX
  • Javier Alcazar-Castro Department of Cardiac Electrophysiology Clinic and Arrhythmias, Anesthesiology Service, General Hospital of CDMX
  • Yuri J. Caprielova Faculty of Medicine, UNAM, CDMX
  • Leonel D. Hernández Arteaga Department of Surgery, General Regional Hospital No 1 Morelia, IMSS
  • Román A. R. Llergo Department of Surgery, Angeles Villahermosa Hospital,
  • José E. P. López Department of Surgery, High Specialty Regional Hospital Zumpango
  • Germán Mendoza-Barrera Department of General Surgery, Creighton University Medical Center, Omaha, Nebraska
  • Alan I. Valderrama-Treviño Laboratory of Experimental Immunotherapy and Tissue Engineering, Faculty of Medicine, UNAM, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20205414

Keywords:

Epidural anesthesia, Broken epidural catheter, Broken needle, Neuraxial block, Hemilaminectomy

Abstract

Epidural anesthesia is a widely used anesthetic technique in lower extremity surgeries although it is a relatively safe procedure, it can have complications, such as rupture of the epidural catheter. This is a 69-year-old male patient with a diagnosis of Wagner IV diabetic foot is presented, which was scheduled for left supracondylar amputation in which after epidural block, retention of the catheter tip in the epidural space at level L2-L3 was seen, so hemi laminectomy was performed in a second surgical stage in L2 and removal of the epidural catheter. Ideally a broken needle should be removed as soon as possible.

Author Biographies

Rodrigo A. Mendoza-Aceves, Department of Anesthesiology, Angeles del Pedregal Hospital, CDMX

Department of Anesthesiology. Angeles del Pedregal Hospital. CDMX. Mexico.

Rodrigo Banegas-Ruiz, Department of Traumatology, Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra, CDMX

Department of Traumatology. Rehabilitation Hospital. Luis Guillermo Ibarra Ibarra.
CDMX. Mexico.

Francisco F. Gómez-Mendoza, Department of Hand Surgery, Central Military Hospital, CDMX

Department of Hand Surgery. Central Military Hospital. CDMX. Mexico.

Rigoberto R. Román-Hernández, Department of Peripheral Vascular Surgery, Central Military Hospital, CDMX

Department of Peripheral Vascular Surgery. Central Military Hospital. CDMX. Mexico.

Jesica A. Aguirre-Ramírez, Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX

Department of Anesthesiology. Hospital of the Mexican Red Cross. CDMX, Mexico.

Jesica K. R. C. León, Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX

Department of Anesthesiology. Hospital of the Mexican Red Cross. CDMX, Mexico.

Paola G. G. Coronado, Department of Anesthesiology, Hospital of the Mexican Red Cross, CDMX

Department of Anesthesiology. Hospital of the Mexican Red Cross. CDMX, Mexico.

Juan P. E. Torres, Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX

Department of Pediatric Plastic and Reconstructive Surgery, HGCMN La Raza, IMSS, CDMX, Mexico.

Javier Alcazar-Castro, Department of Cardiac Electrophysiology Clinic and Arrhythmias, Anesthesiology Service, General Hospital of CDMX

Department of Cardiac Electrophysiology Clinic and Arrhythmias, Anesthesiology Service, General Hospital of CDMX, Mexico.

Yuri J. Caprielova, Faculty of Medicine, UNAM, CDMX

Faculty of Medicine. UNAM. CDMX. Mexico.

Leonel D. Hernández Arteaga, Department of Surgery, General Regional Hospital No 1 Morelia, IMSS

Department of Surgery. General Regional Hospital No 1 Morelia, IMSS. México.

Román A. R. Llergo, Department of Surgery, Angeles Villahermosa Hospital,

Department of Surgery. Angeles Villahermosa Hospital. Mexico.

José E. P. López, Department of Surgery, High Specialty Regional Hospital Zumpango

Department of Surgery. High Specialty Regional Hospital Zumpango. Mexico.

Germán Mendoza-Barrera, Department of General Surgery, Creighton University Medical Center, Omaha, Nebraska

Department of General Surgery, Creighton University Medical Center, Omaha, Nebraska, USA

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Published

2020-12-28

How to Cite

Mendoza-Aceves, R. A., Banegas-Ruiz, R., Gómez-Mendoza, F. F., Román-Hernández, R. R., Aguirre-Ramírez, J. A., León, J. K. R. C., Coronado, P. G. G., Torres, J. P. E., Alcazar-Castro, J., Caprielova, Y. J., Hernández Arteaga, L. D., Llergo, R. A. R., López, J. E. P., Mendoza-Barrera, G., & Valderrama-Treviño, A. I. (2020). Management of a ruptured epidural catheter, an anesthesiologist’s dilemma: a case report. International Journal of Research in Medical Sciences, 9(1), 282–284. https://doi.org/10.18203/2320-6012.ijrms20205414

Issue

Section

Case Reports