[Infections after insertion of epidural catheters].
Three cases of iatrogenic infection following the insertion and subsequent use of an epidural catheter are described. The development, symptoms, diagnostic possibilities and treatment of epidural abscess are described. It is stressed that patients with decreased immunological defences are more prone to infection. Two patients with epidural abscesses are described. In both cases there was a "doctors-delay" before diagnosis was reached. Despite neurosurgical intervention both patients developed paralysis of the lower extremities, bladder and intestinal function, in one of them irreversibly. We also describe one patient who developed meningitis following eight attempts to insert an epidural catheter. The importance of quick diagnosis and intervention is stressed as well as the importance of strict sterility while inserting and using epidural catheters.
Linnemann
M U
MU
Anaestesiologisk afdeling R, Bispebjerg Hospital, København.
Bülow
H H
HH
D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D000328:Adult; D015360:Analgesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation; D000767:Anesthesia, Epidural / Q000009:adverse effects* / Q000295:instrumentation; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D004824:Epidural Space; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000209:etiology*; D008875:Middle Aged; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology*
Infektioner efter anlaeggelse af epiduralkateter.