Korean J Anesthesiol.  1998 Nov;35(5):1003-1006. 10.4097/kjae.1998.35.5.1003.

Methods for Differentiation of the CSF and Local Anesthetics during Combined Spinal Epidural Anesthesia: A case report

• Kwon DG
• Kim TS
• Kim HS
• Kim KM

• KMID: 2240118
• DOI: http://doi.org/10.4097/kjae.1998.35.5.1003

Abstract

Combined spinal epidural block with use of the needle-through-needle technique has become increasingly more popular during recent years because it provides rapidity and density of spinal block, combined with the ability to extend the block and provide postoperative analgesia by use of the extradural catheter. However, the combined spinal epidural block has some disadvantages. Since the spinal needle makes a hole in the dura, the accidental migration of an extradural catheter into the dural opening made previously by the spinal needle is thought to be theoretical risk. We report a case during combined spinal epidural anesthesia for a total hip replacement in which the clear fluid in the epidural catheter was found and tested to confirm the nature of fluid and migration of catheter by the dextrostix test and the immunoelectrophoresis test(prealbumin test).

Keyword

Anesthetic techniques: combined spinal epidural; Complications: miscellaneous, dural puncture; Measurement techniques: dextrostix; prealbumin test

MeSH Terms

Analgesia
Anesthesia, Epidural*
Anesthetics, Local*
Arthroplasty, Replacement, Hip
Catheters
Immunoelectrophoresis
Needles
Anesthetics, Local