Successful placement of an epidural catheter through a split skin graft after degloving injury of the lower back. (November 2019)

• Record Type: Journal Article
• Authors: Metodiev, Y.; Anderson, S.; Kondov, K.
• Is Part Of: International journal of obstetric anesthesia. Volume 40(2019)
• Page Start: 149
• Page End: 151
• Publication Date: 2019-11
• Subjects: Degloving injury -- Skin graft -- Epidural -- Pregnancy; Obstetrics -- Periodicals; Anesthesia -- Periodicals; Anesthésie en obstétrique -- Périodiques; Anesthesia; Obstetrics; Electronic journals; Periodicals; 617.9682
• DOI: 10.1016/j.ijoa.2019.03.002
• Languages: English
• ISSNs: 0959-289X

Abstract

Highlights: Degloving soft tissue injuries are rare in women of child-bearing age. Lumbar split skin grafting may not contraindicate epidural catheterisation. Ultrasound scanning may aid catheter insertion through an area of abnormal anatomy. Healing of the puncture and the graft integrity should be checked. Abstract: Degloving soft tissue injuries of the back are uncommon in women of child-bearing age. Treatment of such injuries may include split skin grafting of the affected area. We present the case of a 30-year-old primigravid woman who suffered degloving of the skin over the lumbar area that had been treated by split skin grafting three years prior to her pregnancy. She was seen in the antenatal anaesthetic clinic where she expressed a desire to have early epidural analgesia for her labour and delivery. An epidural catheter was placed successfully through the skin graft. The considerations for performing an invasive procedure through a skin graft and the available evidence are discussed.