Unique method for removal of knotted lumbar epidural catheter: A case report  

作　　者：Nian-Hua Deng Xiao-Cong Chen Shou-Bo Quan 

机构地区：[1]Anesthesia and Surgery Center,Dongguan Songshan Lake Central Hospital,Dongguan 523326,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2024年第10期1824-1829,共6页世界临床病例杂志

摘　　要：BACKGROUND Combined spinal-epidural(CSE)anesthesia is the preferred anesthesia method for cesarean delivery.The use of an epidural catheter is essential for administering additional drugs intraoperatively and managing postoperative pain.However,the insertion of epidural catheters is associated with various complications,such as total spinal anesthesia,symptoms indicative of spinal nerve root irritation,and challenges in epidural catheter removal.CASE SUMMARY We present a case report of a challenging epidural catheter removal due to knotting.The lumbar computed tomography scan results revealed that the catheter formed a tight knot in the epidural space.We used a novel extubation method and successfully removed the catheter.CONCLUSION The operator can use opposite forces to"spiral"apart the spinal joints by positioning the patient's body in a specific position.The findings indicate that,when combined with imaging examination results,this method is effective for the removal of epidural catheters.

关 键 词：Epidural catheter KNOTTING Challenging extubation Case report 

分 类 号：R741[医药卫生—神经病学与精神病学]