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REMOVAL OF A SHEARED RADIOLUCENT EPIDURAL CATHETER DURING SUBCUTANEOUS TUNNELING THROUGH LOCALIZATION BY COMPUTED TOMOGRAPHY - A CASE REPORT
ESRA Academy. Kim Y. Sep 9, 2016; 138476
Topic: MISCELLANEOUS
Prof. Yeon A Kim
Prof. Yeon A Kim

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Abstract
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Background and Aims:

Subcutaneous tunneling is a frequently performed technique for epidural catheter anchoring during continuous epidural analgesia. Shearing of the epidural catheter during this procedure is a rare complication; however, there is always a risk of damage to the needle used for tunneling.

Methods:

Here, we report a difficult case of removing the sheared radiolucent epidural catheter during tunneling, owing to the sheared catheter fragment being concealed beneath the skin.

Results:

Initially, we tried to localize the disappeared fragment by ultrasonography; however, this failed. Subsequently, we performed computed tomography and the broken catheter was clearly visualized and localized two - demensionally; as a result, the sheared epidural catheter was removed successfully.

Conclusions:

Based on this case, we discuss the methods for preventing epidural catheter breakage during subcutaneous tunneling and recommend computed tomography scan as the initial study to evaluate the location of a radiolucent fragmented epidural catheter buried under the skin after shearing.

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