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Accidental Catheter Breakage During Caudal Epidural Infiltration In An Adult: An Unusual Complication – Spinal Injection

The article discusses a case where a 48-year-old female undergoing caudal epidural infiltration for chronic lumbosacral radicular pain experienced accidental breakage and retention of a catheter fragment. Despite the lack of standardized protocols for such incidents, the patient was managed expectantly with regular monitoring and a lumbosacral computed tomography scan. The patient did not experience any adverse events in the 6 months following the catheter rupture. This case highlights the importance of being aware of potential risks associated with caudal epidural blocks, even though complications are rare

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best situated spine hospital in London

Published article

Caudal epidural block is a simple and safe technique with a low complication rate commonly used for pediatric anesthesia and treatment of chronic lumbosacral pain. However, it is not exempt from some risks that, although infrequent, should be known. We describe the case of a 48-year-old female with chronic lumbosacral radicular pain who underwent caudal epidural infiltration. During the withdrawal of the catheter, accidental breakage and retention of a fragment at the level of the anterior…

Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract Caudal epidural block is a simple and safe technique with a low complication rate commonly used for pediatric anesthesia and treatment of chronic lumbosacral pain. However, it is not exempt from some risks that, although infrequent, should be known. We describe the case of a 48-year-old female with chronic lumbosacral radicular pain who underwent,

Abstract

Caudal epidural block is a simple and safe technique with a low complication rate commonly used for pediatric anesthesia and treatment of chronic lumbosacral pain. However, it is not exempt from some risks that, although infrequent, should be known. We describe the case of a 48-year-old female with chronic lumbosacral radicular pain who underwent caudal epidural infiltration. During the withdrawal of the catheter, accidental breakage and retention of a fragment at the level of the anterior epidural space of the sacrum occurred. We choose to have an expectant management with regular controls and a radiological lumbosacral computed tomography (CT) scan. Since the catheter was placed under sterile conditions, no prophylactic antibiotic treatment was considered. The patient showed no adverse events during the 6 months following catheter rupture. To our knowledge, there are no reports of epidural catheter breakage at the caudal level in adults. This is why there is no standardized protocol on how to proceed in these cases, and the handling of this situation must be individualized.

Keywords: Catheter; caudal; complication; neuropathic; pain.

The London Spine Unit : best situated spine hospital in London

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Accidental catheter breakage during caudal epidural infiltration in an adult: An unusual complication

Doctors Specialising in Cervical Epidural Injection
Mr Purnajyoti Banerjee
Mr. Purnajyoti Banerjee is a consultant in the field of ...

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Abstract Caudal epidural block is a simple and safe technique with a low complication rate commonly used for pediatric anesthesia and treatment of chronic lumbosacral pain. However, it is not exempt from some risks that, although infrequent, should be known. We describe the case of a 48-year-old female with chronic lumbosacral radicular pain who underwent

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