Bokka Nikhilesh

Abstract

Epidural anaesthesia can be used independently as single shot or continuous infusions using catheters threaded in the epidural space. one of the most dreaded complications is catheter breakage while insertion or removal. This case report describes the epidural catheter breakage in three patients over the period of one year. Epidural catheter breakage can be due to knotted, kinked, looped, type of material used. Further any fragmented piece left with in patient due to breakage, being from asymptomatic to severe neurological complications. Few manufacturer guidelines or methods that can be followed to prevent the epidural catheter breakages are also described in this case report. Keywords: Catheter breakage, Rigid, Manufacturer recommendation.

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Abstract

Injecting vasopressin intramyometrially reduces bleeding during myomectomy. It is challenging to the anesthesiologist in view of its side effects. Low concentrations of vasopressin has been considered to be safe, but sometimes it can lead to undesirable effects such as bradycardia with loss of peripheral pulse, non recordable blood pressure further leading to cardiac arrest. We report a case history of a patient who had developed bradycardia and dyspnea along with loss of peripheral pulse after local infiltration of 5 unit of vasopressin (20units diluted in 100ml NS), patient was revived by successful resuscitation. Keywords: Dyspnea, Myomectomy, Vasopressin.

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