We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Challenges with two epidural catheters for labor analgesia in a patient with lumbar adhesions: a case report.
- Authors
Hosokawa, Yuki; Kato, Rie; Ohsugi, Eriko; Sugita, Michiko
- Abstract
Background: The efficacy of neuraxial analgesia varies with spinal canal pathology. Notably, a secondary epidural catheter has been shown to increase neuraxial labor analgesia in women with spinal lesions. Therefore, we present a case in which catheter withdrawal played a critical role in achieving effective labor analgesia in a woman with epidural adhesions after lumbar discectomy who had inadequate analgesia with two epidural catheters. Case presentation: We encountered a patient with L5 lumbar epidural adhesions who reported pain even after receiving two epidural catheters. The catheters were placed in the L1/2 and L5/S intervertebral spaces. Analgesic effects were exerted when the L5/S catheter was withdrawn by 1 cm, suggesting that the catheter tip was initially placed inside the adhesion. Conclusions: Careful consideration of catheter placement and adjustments by withdrawing the catheter are crucial in managing labor analgesia in patients with known epidural adhesions.
- Subjects
EPIDURAL catheters; TISSUE adhesions; EPIDURAL analgesia; ANALGESIA; SPINAL canal
- Publication
JA Clinical Reports, 2024, Vol 10, Issue 1, p1
- ISSN
2363-9024
- Publication type
Article
- DOI
10.1186/s40981-024-00724-1