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Canadian Journal of Anesthesia, Vol 26, 142-144, Copyright © 1979 by Canadian Anesthesiologists' Society

Knotting of an Epidural Catheter: A Case Report

R. A. BROWNE 1 and V. L. POLITI 1

1 McMaster University and Hamilton Civic Hospitals, Hamilton, Ontario

Difficulty with removal of an epidural catheter is described due to formation of a knot near the end of the catheter.

It is stressed that in the lumbar area an epidural catheter should never be inserted more than 5 cm into the epidural space, as curling with knot formation may occur.

Removal may be attempted by pulling on the catheter if testing of a similar catheter indicates that it will withstand the tension.

The patient and the spouse should be kept informed and involved in the decision-making for medico-legal reasons.






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Copyright © 1979 by the Canadian Anesthesiologists' Society.