Resumen

CEVALLOS SACOTO, Francisco Antonio; SERRANOBEJAR, Leonardo Alfredo; VASQUEZ GUAPISACA, Lucia Fernanda  y  TAMAY TAMAY, Fanny Gabriela. Epidural catheter section during combined epidural spinal anesthetic technique. Rev cuba anestesiol reanim [online]. 2022, vol.21, n.1  Epub 25-Feb-2022. ISSN 1726-6718.

The use of epidural catheters is a fundamental pillar of anesthesia. These have been safely employed for several decades; however, some complications usually occur. A rare one is its section, which if not properly managed generates significant morbidity.

It is presented the case of a patient receiving combined epidural spinal anesthesia. The technique used, both for the placement of the catheter and for its removal, was apparently correct; however, it suffered a section when removed. In the subsequent images it was evident that the catheter was accidentally placed in the paravertebral space. A mechanism of rupture not yet described in the literature is theorized. It is published with the aim of showing the need for individualization in the management of this accident, whether expectant or surgical according to the clinical conditions of each patient.

Palabras clave : epidural catheter; section; combined epidural spinal; complications; case report.

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