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Shah R, Butala B, Parikh G, et al. Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report. J Clin Diagn Res. 2017;11(1):UD01-UD02doi: 10.7860/JCDR/2017/24573.9209.
Shah, R., Butala, B., Parikh, G., & Pargi, R. (2017). Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report. Journal of clinical and diagnostic research : JCDR, 11(1), UD01-UD02. https://doi.org/10.7860/JCDR/2017/24573.9209
Shah, Rajkiran, et al. "Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report." Journal of clinical and diagnostic research : JCDR vol. 11,1 (2017): UD01-UD02. doi: https://doi.org/10.7860/JCDR/2017/24573.9209
Shah R, Butala B, Parikh G, Pargi R. Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report. J Clin Diagn Res. 2017 Jan;11(1):UD01-UD02. doi: 10.7860/JCDR/2017/24573.9209. Epub 2017 Jan 01. PMID: 28274024; PMCID: PMC5324469.
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J Clin Diagn Res. 2017 Jan;11(1):UD01-UD02. doi: 10.7860/JCDR/2017/24573.9209. Epub 2017 Jan 01.

Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report.

Journal of clinical and diagnostic research : JCDR

Rajkiran Shah, Beena Butala, Geeta Parikh, Rajesh Pargi

Affiliations

  1. Associate Professor, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of Kidney Diseases and Research Center , Ahmedabad, Gujarat, India .
  2. Professor and Head, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of Kidney Diseases and Research Center , Ahmedabad, Gujarat, India .
  3. Professor, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of Kidney Diseases and Research Center , Ahmedabad, Gujarat, India .
  4. Resident, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of Kidney Diseases and Research Center , Ahmedabad, Gujarat, India .

PMID: 28274024 PMCID: PMC5324469 DOI: 10.7860/JCDR/2017/24573.9209

Abstract

One of the causes of failed epidurals is catheter misplacement. Though various techniques of epidural space identification have been developed, none of them is 100% successful. Here, we present a case of lumbar epidural catheter misplacement in a patient scheduled to undergo right sided open nephrectomy. Catheter was found in the surgical field coming out of psoas major muscle.

Keywords: Anaesthesia; Epidural space; Psoas muscle

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