Epidural catheters can migrate intravascularly even after initially functioning well, highlighting the need for continued vigilance during labour analgesia.
Supports ongoing vigilance for late epidural migration in labor; case report leaves open optimal monitoring protocols.
Intravascular epidural catheters may result in insufficient labour analgesia or can produce potentially lethal complications following an epidural top-up. We report a case of a previously well functioning epidural catheter positioned epidurally using a combined spinal epidural anaesthesia technique, which subsequently was found to be intravascular. The literature is reviewed.
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Fivez et al. (2010) studied this question.
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