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Correspondence |
Vancouver, British Columbia
Thank you for the opportunity of commenting on this case of pain following insertion of an epidural needle through a tattoo. Our article dealt with the theoretical risk of a core of tissue containing pigment from a tattoo causing long-term neurological problems.1 Dr. Kuczkowski describes tenderness and burning at the site of the epidural catheter several hours after it was sited through a lumbar tattoo. Fortunately, the symptoms resolved over 24 hr but the author wonders whether the symptoms were related to passage of the epidural needle through the tattoo with resulting irritation from the tattoo pigment. Although difficult to say with certainty, a more likely explanation is that the tenderness was related to bruising from the epidural needle, an occurrence that is seen in women without tattoos. However, as more individuals are being tattooed complications related to neuraxial blocks done through the tattoo may be reported.
Reference
1 Douglas MJ, Swenerton JE. Epidural anesthesia in three parturients with lumbar tattoos: a review of possible implications. Can J Anesth 2002; 49: 105760.
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