Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication

Samarjit Dey; Manish Keshwani; Omer Mohammed Mujahid; Vamshidhar Chamala

doi:10.14744/agri.2022.23090

Samarjit Dey^¹, Manish Keshwani^², Omer Mohammed Mujahid^³, Vamshidhar Chamala^¹

¹Department of Anesthesiology, All India Institute of Medical Sciences, Mangalagiri, India
²DKS Hospital, Raipur, Chhattisgarh, India
³Department of Anesthesiology, All India Institute of Medical Sciences, Raipur, India

Keywords: Analgesia, epidural analgesia, postoperative pain.

Abstract

Damage to an epidural catheter by a spinal needle is a hypothetical complication, as mentioned in the literature. We present a case report where the epidural catheter was damaged and sheared by a spinal needle when the same interspace was used for the introduction of both the epidural and spinal needles. The damage to the catheter went unnoticed until drug infusion via the catheter was planned. The intended drug could not be delivered. In a scenario where the drug could have been delivered via the damaged catheter, the tissue plane in which the drug extravasates and its possible implications may not be known. What was once purported to be a rare and hypothetical complication could no longer be just that.

BibTex	`@article{ agri305, doi = {10.14744/agri.2022.23090}, author = {Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala}, title = {Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication}, journal = {Agri}, year = {2025}, volume = {37}, number = {3}, pages = {179-180}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala PY - 2025 TI - Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication SP - 179 EP - 180 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 37 IS - 3 PB - DO - 10.14744/agri.2022.23090 ER -`
EndNote	`%0 Journal Article %A Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala %T Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication %J The Journal of the Turkish Society of Algology %D 2025 %V 37 %N 3 %P 179-180 %R 10.14744/agri.2022.23090`
APA	Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala (2025). Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication. The Journal of the Turkish Society of Algology, 37(3), 179-180. doi:10.14744/agri.2022.23090
MLA	Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala. "Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication" The Journal of the Turkish Society of Algology, vol. 37, no. 3, 2025, pp. 179-180. doi:10.14744/agri.2022.23090.
Chicago	Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala. "Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication" The Journal of the Turkish Society of Algology 37, no. 3 (2025): 179-180. https://doi.org/10.14744/agri.2022.23090.
AMA	Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala. Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication. Agri. 2025; 37(3): 179-180. doi:10.14744/agri.2022.23090.
Vancouver	Samarjit Dey, Manish Keshwani, Omer Mohammed Mujahid, Vamshidhar Chamala. Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication. Agri. 2025; 37(3): 179-180. doi:10.14744/agri.2022.23090

Shearing of epidural catheter during combined spinal epidural technique: more than just a hypothetical complication

Abstract

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