Conservative treatment of paraplegia after removal of an epidural catheter during low-molecular-weight heparin treatment.
نویسندگان
چکیده
EPIDURAL catheters are commonly used in today’s anesthetic practice, and complications are rare. However, hematomas within the spinal canal leading to compression of the spinal cord remain a major concern. In particular, anticoagulation and bleeding disorders are considered to be risk factors for hematoma formation after neuroaxial blockade. We report a case of paraplegia that developed after removal of a thoracic epidural catheter during low-molecular-weight heparin (LMWH) treatment. The patient’s symptoms improved spontaneously, and restitution was complete after conservative treatment.
منابع مشابه
Epidural haematoma after removal of an epidural catheter in a patient receiving high-dose enoxaparin.
A patient developed an epidural haematoma 6 days after removal of an epidural catheter resulting in paraplegia and death. Insertion and removal of the epidural catheter during anticoagulation with prophylactic unfractionated heparin and subsequent administration of high-dose enoxaparin (Clexane), which commenced 3 days after catheter removal, were implicated.
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ورودعنوان ژورنال:
- Anesthesiology
دوره 97 3 شماره
صفحات -
تاریخ انتشار 2002