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KMID : 0352120170320010037
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Journal of Kyung Hee University
2017 Volume.32 No. 1 p.37 ~ p.42
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Epidural Abscess after Combined Spinal and Epidural Anesthesia for Total Knee Replacement Arthroplasty
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Lee Eun-Ji
Lee Eun-Kyung
Min Jeong-Jin
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Abstract
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Spinal and epidural anesthesia are widely used for surgical procedure and pain management. As, central neuraxial block (CNB) is increasingly relied upon, the incidence of complications is likely to increase. Although, the frequency of infectious complications following CNB has historically been considered extremely low, it could lead to serious results, such as arachnoiditis, meningitis, cord compression secondary to abscess formation. Early recognition and diagnosis followed by prompt treatment is essential. Here we report a case of epidural abscess after combined spinal and epidural anesthesia. The patient was diagnosed with epidural abscess at 8th day of post anesthesia, and treated by surgical intervention. Fortunately, the patient was fully recovered without any neurologic sequelae. The issue of antiseptic techniques before CNB has gained an intensive attention. Appropriate selection and application of skin antiseptic may play a significant role in preventing infectious complications of CNB.
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KEYWORD
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Epidural abscess, Combined spinal and epidural anesthesia, Skin antisepsis
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