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Visible Evidence of Lumbar Epidural Catheter Misplacement-A Critical Incident Case Report
Rajkiran Shah1, Beena Butala2, Geeta Parikh3
1Associate Professor, Department of Anaesthesiology and Critical Care, Smt. K.M. Mehta and Smt.G.R. Doshi Institute of Kidney Diseases and Research Center , Ahmedabad, Gujarat, India .
Abstract:
One of the causes of failed epidurals is catheter misplacement. Though various techniques of epidural space identification have been developed, none of them is 100% successful. Here, we present a case of lumbar epidural catheter misplacement in a patient scheduled to undergo right sided open nephrectomy. Catheter was found in the surgical field coming out of psoas major muscle.
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