title: Epidural haematoma after removal of an epidural catheter in a patient receiving high-dose enoxaparin.
abstract: 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.
authors.affiliation: Department of Anaesthesia and Pain Management, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, Australia.
authors.forename: B
authors.initials: B
authors.lastname: Yin
authors.forename: S M
authors.initials: SM
authors.lastname: Barratt
authors.forename: I
authors.initials: I
authors.lastname: Power
authors.forename: J
authors.initials: J
authors.lastname: Percy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D017984:Enoxaparin / Q000008:administration & dosage / Q000009:adverse effects*; D017809:Fatal Outcome; D006407:Hematoma, Epidural, Cranial / Q000139:chemically induced / Q000209:etiology*; D006801:Humans; D008297:Male
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin