RAEducation » Case Discussion http://www.raeducation.com Regional Anesthesia Education...and Discussion Tue, 06 Apr 2010 12:21:26 +0000 http://wordpress.org/?v=2.9.2 en hourly 1 Epidural Catheter Disconnects http://www.raeducation.com/2010/02/epidural-catheter-disconnects/ http://www.raeducation.com/2010/02/epidural-catheter-disconnects/#comments Fri, 26 Feb 2010 23:47:39 +0000 BlueNeedle http://www.raeducation.com/2010/02/epidural-catheter-disconnects/ Yet Another Related Posts Plugin.]]> A 74 year-old female with borderline renal function and a history of spinal stenosis has an epidural catheter in place. She is post-op day 2 from a colon surgery for cancer.

This morning, she was diagnosed with a PE, and was given 1mg/kg of enoxaparin. Six hours after the lovenox, the nurse calls the acute pain service. Apparently the epidural catheter has become disconnected in the last 3 hours (the disconnect was unwitnessed). The tips were found lying on the bed near the patient’s urinal.

How would you manage this situation?

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