title: Failure of anaesthesia after accidental subdural catheter placement.
abstract: A case is described where an epidural anaesthetic was complicated by dural puncture, following which attempted conversion to a continuous subarachnoid infusion technique resulted in failure of anaesthesia. Accidental subdural catheter placement was confirmed radiologically, subdural spread of solution being demonstrated; however, only minimal anaesthetic effects were produced.
authors.affiliation: Department of Anaesthesiology, Leiden University Hospital, The Netherlands.
authors.forename: J M
authors.initials: JM
authors.lastname: van der Maaten
authors.forename: J W
authors.initials: JW
authors.lastname: van Kleef
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation*; D000775:Anesthesia, Spinal / Q000009:adverse effects* / Q000295:instrumentation*; D002045:Bupivacaine / Q000008:administration & dosage; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage; D013355:Subdural Space
chemical_list: D008012:Lidocaine; D002045:Bupivacaine