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British Journal of Anaesthesia, Vol 82, Issue 2 288-290, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORT

Epidural haematoma after removal of an epidural catheter in a patient receiving high-dose enoxaparin

B. Yin, S. M. Barratt, I. Power and J. Percy
Department of Anaesthesia and Pain Management and Department of Surgery, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia

A patient developed an epidural haematoma 6 days after removal of an epidural catheter resulting in paraplegia and death. Insertion and removal of the epidural catheter during anticoagulation with prophylactic unfractionated heparin and subsequent administration of high-dose enoxaparin (Clexane), which commenced 3 days after catheter removal, were implicated.
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