Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report

Epidural analgesia is commonly used for pain management during labor. Owing to the blind nature of the insertion of the catheters, they are prone to migration to various spaces intra-spinally, which may result in a multitude of complications. We present a case of a 32-year-old lady who was admitted...

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Autores principales: Sambhukumar, Priya V, Mohamed, Riaz, Shankar, Anagha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149438/
https://www.ncbi.nlm.nih.gov/pubmed/37139268
http://dx.doi.org/10.7759/cureus.36979
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author Sambhukumar, Priya V
Mohamed, Riaz
Shankar, Anagha
author_facet Sambhukumar, Priya V
Mohamed, Riaz
Shankar, Anagha
author_sort Sambhukumar, Priya V
collection PubMed
description Epidural analgesia is commonly used for pain management during labor. Owing to the blind nature of the insertion of the catheters, they are prone to migration to various spaces intra-spinally, which may result in a multitude of complications. We present a case of a 32-year-old lady who was admitted with labor pain, and an epidural catheter was inserted for labor analgesia. Five hours after insertion, she developed sudden motor and sensory impairment suggestive of subarachnoid migration of the catheter. The diagnosis, management, and risks associated with delay in the identification of this potentially fatal complication are discussed.
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spelling pubmed-101494382023-05-02 Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report Sambhukumar, Priya V Mohamed, Riaz Shankar, Anagha Cureus Anesthesiology Epidural analgesia is commonly used for pain management during labor. Owing to the blind nature of the insertion of the catheters, they are prone to migration to various spaces intra-spinally, which may result in a multitude of complications. We present a case of a 32-year-old lady who was admitted with labor pain, and an epidural catheter was inserted for labor analgesia. Five hours after insertion, she developed sudden motor and sensory impairment suggestive of subarachnoid migration of the catheter. The diagnosis, management, and risks associated with delay in the identification of this potentially fatal complication are discussed. Cureus 2023-03-31 /pmc/articles/PMC10149438/ /pubmed/37139268 http://dx.doi.org/10.7759/cureus.36979 Text en Copyright © 2023, Sambhukumar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Sambhukumar, Priya V
Mohamed, Riaz
Shankar, Anagha
Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title_full Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title_fullStr Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title_full_unstemmed Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title_short Intrapartum Subarachnoid Migration of Epidural Catheter Inserted for Labour Analgesia: A Case Report
title_sort intrapartum subarachnoid migration of epidural catheter inserted for labour analgesia: a case report
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149438/
https://www.ncbi.nlm.nih.gov/pubmed/37139268
http://dx.doi.org/10.7759/cureus.36979
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