Inadvertent Dural Puncture during Epidural Anesthesia by an Epidural Catheter with a Plastic Stylet.
10.3349/ymj.1986.27.2.152
- Author:
Wyun Kon PARK
1
;
Yang Sik SHIN
;
Jong Rae KIM
;
Kwang Won PARK
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Epidural anesthesia;
Dural puncture;
Cerebrospinal Fluid;
Deseret catheter with a stylet;
Portex catheter
- MeSH:
Aged;
Anesthesia, Epidural/adverse effects*;
Catheterization/adverse effects*;
Dura Mater/injuries*;
Female;
Human;
Plastics
- From:Yonsei Medical Journal
1986;27(2):152-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
Epidural anesthesia was given to a 72-year-old female patient suffering from cholecystitis due to multiple gallstones, and chronic bronchial asthma. In the course of the procedure we inserted an epidural catheter (Deseret catheter with a plastic stylet) via a 17G Tuohy needle at the L1-2 intervertebral space. Since it was very difficult to insert the catheter through the Tuohy needle, we pushed it forward applying a considerable amount of force. Following the insertion of the catheter and prior to injection of a test dose of local anesthetic, it was found-that cerebrospinal fluid was flowing out through the catheter from a puncture of the dura. In a second attempt, we approached another intervertebral space, this time with a Portex catheter without a stylet, and succeeded in administering the anesthetic by means of a continuous epidural procedure.
