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.
Caudal anesthesia is commonly used a regional anesthesia technique for sub-umbilical surgeries in pediatrics and for chronic pain management in adults. Ultrasound guided caudal epidural block improves the success rate with minimizes complications. We report a patient who underwent lateral sphincterotomy under ultrasound guided caudal epidural anesthesia and developed transient urinary incontinence with prolonged perineal sensory loss postoperatively.
Key words: Anesthesia, Caudal epidural, Ultrasound.
Citation: Preethipriyadharshini R, Vadhanan CP, Bokka N. Transient bladder incontinence following ultrasound guided caudal epidural block. Anaesth. pain intensive care 2021;25(1):102–104;
DOI: 10.35975/apic.v25i1.1437
Received: 17 October 2020; Reviewed: 4 November 2020; Accepted: 5 December 2020
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