Yonsei Med J.  1986 Jun;27(2):152-154. 10.3349/ymj.1986.27.2.152.

Inadvertent Dural Puncture during Epidural Anesthesia by an Epidural Catheter with a Plastic Stylet

• Park WK
• Shin YS
• Kim JR
• Park KW

• KMID: 693027
• DOI: http://doi.org/10.3349/ymj.1986.27.2.152

Abstract

Epidural anesthesia was given to a 72-year-old female patient suffering from cholecystitis due to multiple gallstones, and chronic bronchial asthma. In the course of the procedure we inserted an epidural catheter (Deseret catheter with a plastic stylet) via a 17G Tuohy needle at the L1-2 intervertebral space. Since it was very difficult to insert the catheter through the Tuohy needle, we pushed it forward applying a considerable amount of force. Following the insertion of the catheter and prior to injection of a test dose of local anesthetic, it was found-that cerebrospinal fluid was flowing out through the catheter from a puncture of the dura. In a second attempt, we approached another intervertebral space, this time with a Portex catheter without a stylet, and succeeded in administering the anesthetic by means of a continuous epidural procedure.

Keyword

Epidural anesthesia; Dural puncture; Cerebrospinal Fluid; Deseret catheter with a stylet; Portex catheter

MeSH Terms

Aged
Anesthesia, Epidural/adverse effects*
Catheterization/adverse effects*
Dura Mater/injuries*
Female
Human
Plastics