Intrathecal Migration of Epidural Catheter

Document Type

Conference Proceeding - Restricted Access

Publication Date



Epidural catheters that are placed for anaesthesia or analgesia have a serious complication of migration. Migrations can be intravascular, subdural, or intrathecal. Although an epidural test dose of local anesthetic is used immediately after catheter insertion to detect inadvertent placement, migration is still possible. This could lead to inadvertent administration of epidural drug dosages into the intrathecal space, leading to life- threatening complications. Our presentation will discuss the late intrathecal migration of a previously functioning epidural catheter leading to a C-8 dermatomal level and cardiac arrest with subsequent achievement of return of spontaneous circulation


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.