Knot Formation at Removal of an Epidural Catheter Placed Against Insertion Resistance Encountered at the Entrance of the Epidural Space | Zendy

Byung Tae Kil | Zendy; Bong Il Kim | Zendy; Jonghae Kim | Zendy

Open Access

Knot Formation at Removal of an Epidural Catheter Placed Against Insertion Resistance Encountered at the Entrance of the Epidural Space

Author(s) -

Byung Tae Kil,

Bong Il Kim,

Jonghae Kim

Publication year - 2016

Publication title -

kosin medical journal

Language(s) - English

Resource type - Journals

eISSN - 2586-7024

pISSN - 2005-9531

DOI - 10.7180/kmj.2016.31.2.184

Subject(s) - medicine , catheter , tuohy needle , epidural space , surgery , anesthesia , seldinger technique

Knots formed when inserting a catheter for epidural anesthesia have an incidence rate of 0.0015%, which is extremely rare. In most cases, knots are formed when the epidural catheter is twisted and not inserted straight into the epidural space. The case reported here represents a clinical experience in which the epidural catheter – which could not be easily removed due to knot formation in the subcutaneous tissue, particularly when removing the catheter after insertion by force despite resistance at the entrance of the epidural space with a Tuohy needle – was successfully removed without side effects or complications. CASE

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