Visible Evidence of Lumbar Epidural Catheter Misplacement–A Critical Incident Case Report UD01-UD02
Dr. Rajkiran Shah,
Type B/4/3, GSECL Colony, TPS Gandhinagar, Gandhinagar-382041, Gujarat India.
One of the causes of failed epidurals is catheter misplacement. Though various techniques of epidural space identification have been developed, none of them is 100% successful. Here, we present a case of lumbar epidural catheter misplacement in a patient scheduled to undergo right sided open nephrectomy. Catheter was found in the surgical field coming out of psoas major muscle.