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Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?

Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural ca...

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Autores principales: Zanjani, Amir Poya, Mirzashahi, Babak, Emami, Ali, Hassani, Motahareh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478830/
https://www.ncbi.nlm.nih.gov/pubmed/26240556
http://dx.doi.org/10.4103/1658-354X.154740
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author Zanjani, Amir Poya
Mirzashahi, Babak
Emami, Ali
Hassani, Motahareh
author_facet Zanjani, Amir Poya
Mirzashahi, Babak
Emami, Ali
Hassani, Motahareh
author_sort Zanjani, Amir Poya
collection PubMed
description Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural catheter was entrapped, we performed all recommended noninvasive maneuvers to release the catheter, but no progress was achieved. Therefore, after obtaining informed consent, we induced anesthesia and changed her to a prone position to explore her back. The intact catheter was removed easily in this stage. The authors believe, in this process, it would have been better if they had tried pulling the catheter in a prone position as a preliminary step. Furthermore, pulling the catheter in a prone position after injecting a muscle relaxant appeared to be more effective and saved the patient from the scheduled surgery.
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spelling pubmed-44788302015-08-03 Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter? Zanjani, Amir Poya Mirzashahi, Babak Emami, Ali Hassani, Motahareh Saudi J Anaesth Case Report Some nonsurgical steps have been introduced to remove an entrapped catheter. But occasionally, the majority of them fail, and we are forced to extract the catheter through an invasive procedure. This article depicts our team's experience on the issue. When we found that the inserted epidural catheter was entrapped, we performed all recommended noninvasive maneuvers to release the catheter, but no progress was achieved. Therefore, after obtaining informed consent, we induced anesthesia and changed her to a prone position to explore her back. The intact catheter was removed easily in this stage. The authors believe, in this process, it would have been better if they had tried pulling the catheter in a prone position as a preliminary step. Furthermore, pulling the catheter in a prone position after injecting a muscle relaxant appeared to be more effective and saved the patient from the scheduled surgery. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4478830/ /pubmed/26240556 http://dx.doi.org/10.4103/1658-354X.154740 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Zanjani, Amir Poya
Mirzashahi, Babak
Emami, Ali
Hassani, Motahareh
Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title_full Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title_fullStr Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title_full_unstemmed Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title_short Muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
title_sort muscle relaxant or prone position, which one unfastened the entrapped epidural catheter?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478830/
https://www.ncbi.nlm.nih.gov/pubmed/26240556
http://dx.doi.org/10.4103/1658-354X.154740
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