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British Journal of Anaesthesia, 2004, Vol. 92, No. 2 294-295
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Epidural abscess complicating insertion of epidural catheters

C. Gosavi1, D. Bland1, R. Poddar1, C. Horst1 and C. J. Roberts2

1 Leicester, UK 2 Gloucester, UK

The first 10% of the full text of this article appears below.

Editor—We read with interest the case reports on epidural abscesses by Phillips and colleagues1 as well as the related correspondence from Hearn.2 In total, 6143 epidurals have been performed in the University Hospitals of Leicester between February 1994 and August 2001. During this period there have been six epidural abscesses reported from two hospitals in the trust. This is an incidence of 0.1%, which is very close to the incidence reported by Phillips of 0.125%.1 The incidence reported elsewhere varies between 0.01% and 0.05%, but our results suggest a significantly higher rate.3–5

One patient was a 57-yr-old male who was admitted for an Ivor Lewis oesophagectomy for adenocarcinoma of the gastro-oesophageal junction. His past medical history included bronchiectasis. He was admitted 5 days before surgery for optimization with bronchodilators and regular physiotherapy. Surgery was performed under general anaesthesia with an epidural sited at T7/8, requiring . . . [Full Text of this Article]


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