Retained Perineural Catheter: A Sentinel Case Report.


Journal

A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112

Informations de publication

Date de publication:
15 Oct 2019
Historique:
pubmed: 26 7 2019
medline: 15 2 2020
entrez: 26 7 2019
Statut: ppublish

Résumé

We report the rare complication of a retained peripheral nerve block catheter (PNBC). A 45-year-old man with intractable postamputation phantom limb pain was treated with continuous infusions via femoral and sciatic peripheral nerve catheters. The catheters were removed by an emergency department physician 2 days after placement. Five months later, the patient presented with a discharging sinus from the sciatic nerve catheter site. Magnetic resonance imaging (MRI) was inconclusive. Surgical exploration showed 15 cm of retained peripheral nerve catheter, which was removed.

Identifiants

pubmed: 31343432
doi: 10.1213/XAA.0000000000001063
pii: 02054229-201910150-00008
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

313-315

Références

Aguirre J, Del Moral A, Cobo I, Borgeat A, Blumenthal S. The role of continuous peripheral nerve blocks. Anesthesiol Res Pract. 2012;2012:560879.
Jeng CL, Torrillo TM, Rosenblatt MA. Complications of peripheral nerve blocks. Br J Anaesth. 2010;105suppl 1i97–107.
Ilfeld BM. Continuous peripheral nerve blocks: a review of the published evidence. Anesth Analg. 2011;113:904–925.
Compère V, Rey N, Baert O, et al. Major complications after 400 continuous popliteal sciatic nerve blocks for post-operative analgesia. Acta Anaesthesiol Scand. 2009;53:339–345.
Asai T, Yamamoto K, Hirose T, Taguchi H, Shingu K. Breakage of epidural catheters: a comparison of an arrow reinforced catheter and other nonreinforced catheters. Anesth Analg. 2001;92:246–248.
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Jenkins CR, Karmakar MK. An unusual complication of interscalene brachial plexus catheterization: delayed catheter migration. Br J Anaesth. 2005;95:535–537.
Gonzalez Fiol A, Horvath R, Schoenberg C, Ahmed N, Dhar SK, Le V. Comparison of changes in tensile strength in three different flexible epidural catheters under various conditions. Anesth Analg. 2016;123:233–237.
Kim P, Meyer U, Schüpfer G, Rukwied R, Konrad C, Gerber H. Tensile strength decreases and perfusion pressure of 3-holed polyamide epidural catheters increases in long-term epidural infusion. Reg Anesth Pain Med. 2011;36:151–155.
Tsui BC, Finucane B. Tensile strength of 19- and 20-gauge arrow epidural catheters. Anesth Analg. 2003;97:1524–1526.
Tio TO, Macmurdo SD, McKenzie R. Mishap with an epidural catheter. Anesthesiology. 1979;50:260–262.
Schummer W, Schummer C. Another cause of epidural catheter breakage? Anesth Analg. 2002;94:233.
Boey SK, Carrie LE. Withdrawal forces during removal of lumbar extradural catheters. Br J Anaesth. 1994;73:833–835.
Gadalla F. Removal of a tenacious epidural catheter. Anesth Analg. 1992;75:1071–1072.

Auteurs

Mohammad Z Khan (MZ)

From the Anesthesiology Institute Outcomes Research Department, Cleveland Clinic, Cleveland, Ohio.

Ilker Ince (I)

From the Anesthesiology Institute Outcomes Research Department, Cleveland Clinic, Cleveland, Ohio.
Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.

Wael Ali Sakr Esa (W)

From the Anesthesiology Institute Outcomes Research Department, Cleveland Clinic, Cleveland, Ohio.

Alparslan Turan (A)

From the Anesthesiology Institute Outcomes Research Department, Cleveland Clinic, Cleveland, Ohio.

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