On knots in epidural catheters: a case report and a review of the literature

[en] A lumbar epidural catheter placed for labor analgesia proved to be difficult to remove after an uneventful delivery. With the patient in the position of catheter insertion, i.e. seated, firm and steady traction allowed removal of the catheter and revealed a knot 4 mm from its tip. Passing excessive amount of catheter into the epidural space may have contributed to this complication. Guidelines to prevent and to minimize this complication are suggested. (c) 2005 Elsevier Ltd. All rights reserved.

Disciplines :

Reproductive medicine (gynecology, andrology, obstetrics)
Anesthesia & intensive care

Author, co-author :

Brichant, Jean-François ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation

Bonhomme, Vincent ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

Hans, Pol ; Université de Liège - ULiège > Département des sciences cliniques > Anesthésie et réanimation

Language :

English

Title :

On knots in epidural catheters: a case report and a review of the literature

Publication date :

April 2006

Journal title :

International Journal of Obstetric Anesthesia

ISSN :

0959-289X

eISSN :

1532-3374

Publisher :

Churchill Livingstone, Edinburgh, United Kingdom

Volume :

Issue :

Pages :

159-162

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 28 October 2008

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Bibliography

P.R. Bromage Epidural Analgesia 1978 W B Saunders Philadelphia
J.W. Folk, T.P. Joye, T.A. Duc Jr., and M.K. Bailey Epidural catheters: the long and winding road South Med J 93 2000 732 733
J. Macfarlane, and M.J. Paech Another knotted epidural catheter Anaesth Intensive Care 30 2002 240 243
P.J. McGregor In reply Anesthesiology 73 1990 1293
B.C. Haid Complication associated with use of extradural catheter in obstetric anesthesia Anesth Analg 44 1965 245 247
L. Chun, and M. Karp Unusual complications from placement of catheters in caudal canal in obstetrical anesthesia Anesthesiology 27 1966 96 97
R.A. Browne, and V.L. Politi Knotting of an epidural catheter: a case report Can Anaesth Soc J 26 1979 142 144
N.H. Blass, R.B. Roberts, and J.K. Wiley The case of the errant epidural catheter Anesthesiology 54 1981 419 421
R. Riegler, and A. Pernetzky Unremovable epidural catheter due to a sling and a knot. A rare complication of epidural anesthesia in obstetrics Reg Anaesth 6 1983 19 21
L.R. Saberski, J.I. Schwartz, B.B. Greenhouse, T.M. Kennedy, and D.A. Ullman A unique complication of a lumbar epidural catheter Anesthesiology 69 1988 634 635
E.E. Fibuch, J.D. McNitt, and T. Cussen Knotting of the Theracath after an uneventful epidural insertion for cesarean delivery Anesthesiology 73 1990 1293
H.W. Striebel, and D. Dopjans Knotting of a peridural catheter Reg Anaesth 14 1991 104 105
D. Gozal, Y. Gozal, and B. Beilin Removal of knotted epidural catheters Reg Anesth 21 1996 71 73
E.M. Renehan, R.A. Peterson, J.P. Penning, O.P. Rosaeg, and D. Chow Visualization of a looped and knotted epidural catheter with a guidewire Can J Anaesth 47 2000 329 333
S.T. Hsin, F.C. Chang, and M.Y. Tsou Inadvertent knotting of a thoracic epidural catheter Acta Anaesthesiol Scand 45 2001 255 257
P. Dam-Hieu, V. Rodriguez, Y. De Cazes, and B. Quinio Computed tomography images of entrapped epidural catheter Reg Anesth Pain Med 27 2002 517 519
M.A. Karraz Knotting of an epidural catheter like a tie Anesth Analg 95 2002 257
M. Karraz Difficulty of withdrawing epidural catheter due to a knot Ann Fr Anesth Reanim 21 2002 825 826
M. Dounas, P. Peillon, J.J. Lebonhomme, and Y. Guittard Difficulties in the removal and rupture of a peridural catheter Ann Fr Anesth Reanim 21 2002 600 602
F. Clergue, Y. Auroy, F. Pequignot, E. Jougla, A. Lienhart, and M.C. Laxenaire French survey of anesthesia in 1996 Anesthesiology 91 1999 1509 1520
M. Muneyuki, K. Shirai, and A. Inamoto Roentgenographic analysis of the positions of catheters in the epidural space Anesthesiology 33 1970 19 24
A. Perebin Hazards of local and regional anesthesia T.H. Taylor E. Major Hazards and Complications of Anesthesia 2nd ed. 1993 Churchill Livingstone Edinburgh 591 612
D. Brown, and V. Gottumukkala Spinal, epidural and caudal anesthesia: anatomy, physiology and technique D.H. Chestnut Obstetric Anesthesia Principles and Practice 3rd ed. 2004 Elsevier Mosby Philadelphia 171 189
Y. Beilin, H.H. Bernstein, and B. Zucker-Pinchoff The optimal distance that a multiorifice epidural catheter should be threaded into the epidural space Anesth Analg 81 1995 301 304
D.C. Moore Regional Block 4th ed. 1971 Charles C Thomas Springfield, IL
R. D'Angelo, B.L. Berkebile, and J.C. Gerancher Prospective examination of epidural catheter insertion Anesthesiology 84 1996 88 93
S.K. Boey, and L.E. Carrie Withdrawal forces during removal of lumbar extradural catheters Br J Anaesth 73 1994 833 835
G.N. Morris, B.B. Warren, E.W. Hanson, F.J. Mazzeo, and D.J. DiBenedetto Influence of patient position on withdrawal forces during removal of lumbar extradural catheters Br J Anaesth 77 1996 419 420
I. Nishio, M. Sekiguchi, Y. Aoyama, S. Asano, and A. Ono Decreased tensile strength of an epidural catheter during its removal by grasping with a hemostat Anesth Analg 93 2001 210 212
Y. Ates, C.A. Yucesoy, M.A. Unlu, B. Saygin, and N. Akkas The mechanical properties of intact and traumatized epidural catheters Anesth Analg 90 2000 393 399
E.F. Jongleux, R. Miller, and A. Freeman An entrapped epidural catheter in a postpartum patient Reg Anesth Pain Med 23 1998 615 617
D.C. Moore, A.A. Artru, W.A. Kelly, and D. Jenkins Use of computed tomography to locate a sheared epidural catheter Anesth Analg 66 1987 795 796