Unintentional epidural catheter migration to subarachnoid space followed by continuous spinal anaesthesia: a case report

Authors

  • K Sardar Assistant Professor,Department of Anaesthesiology, BIRDEM, Dhaka
  • AKMN Chowdhury Professor and Head, Department of Anaesthesiology, BIRDEM, Dhaka
  • MK Rahman Honorary Senior Consultant, Department of Anaesthesiology, BIRDEM, Dhaka

DOI:

https://doi.org/10.3329/jbsa.v23i1.18158

Keywords:

Epidural, catheter migration

Abstract

Among the complications of epidural anaesthesia catheter migration is a very rare one. A 45 years old lady was scheduled for repairing of post caesarean incisional hernia. We prefer the hanging drop technique for epidural space identification, and 3 ml air injection to reconfirm the epidural space. After a test dose of 2% lignocaine 2 ml with 10 microgram adrenaline, the catheter was secured with at 3 cm of its length within the epidural space. Immediately after test dose, she complained of lower limb motor lost. On monitor, bradycardia and severe hypotension was shown. Hemodynamic instability was corrected promptly. After proper resuscitation, we aspirate through epidural catheter. CSF was coming freely. We decided to continue with continuous spinal anaesthesia. We assembled a syringe pump. Continuous spinal anaesthesia was maintained with 0.125% bupivacaine @ 3ml/hour

DOI: http://dx.doi.org/10.3329/jbsa.v23i1.18158

Journal of BSA, 2010; 23(1): 34-36

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Published

2014-03-01

How to Cite

Sardar, K., Chowdhury, A., & Rahman, M. (2014). Unintentional epidural catheter migration to subarachnoid space followed by continuous spinal anaesthesia: a case report. Journal of the Bangladesh Society of Anaesthesiologists, 23(1), 37–39. https://doi.org/10.3329/jbsa.v23i1.18158

Issue

Section

Case Reports