Epidural needle or catheter strayed into a blood vessel

Aug 24, 2022

There are abundant blood vessels in the epidural space. It is not uncommon for the needle or catheter to stray into the blood vessel, especially in term pregnancy, because the epidural vena cava is open, it is more likely to stray into the blood vessel.

The measures to prevent the puncture needle or catheter from penetrating into the blood vessel are as follows: the catheter should be inserted from the dorsal midline approach; The catheter tip should not be too sharp; After the catheter is placed in place, it should be gently aspirated to verify the presence of blood before local anesthetic injection. The test dose of local anesthetic was injected into the catheter. If blood stains are found in catheters and syringes containing local anesthetics, be alert to the possibility of catheters entering veins.

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