OVisible Evidence of Lumbar Epidural Catheter Misplacement–A Critical Incident Case Report
Published: January 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/24573.9209
Rajkiran Shah, Beena Butala, Geeta Parikh, Rajesh Pargi
1. Associate Professor, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of
Kidney Diseases and Research Center, Ahmedabad, Gujarat, India.
2. Professor and Head, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of
Kidney Diseases and Research Center, Ahmedabad, Gujarat, India.
3. Professor, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of
Kidney Diseases and Research Center, Ahmedabad, Gujarat, India.
4. Resident, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of
Kidney Diseases and Research Center, Ahmedabad, Gujarat, India
Correspondence
Dr. Rajkiran Shah,
Type B/4/3, GSECL Colony, TPS Gandhinagar, Gandhinagar-382041, Gujarat India.
E-mail: drrajkiran79@gmail.com
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.
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