Lumbar tattoo and labour analgesia: a case of surgical approach
Introduction: Pregnant women with lumbar tattoo presenting for labour analgesia are currently increasing in number. Many anaesthesiologists are hesitant in placing an epidural catheter over a lumbar tattoo based on a theory that tissue coring of fragments of tattoo pigment into the epidural, subdura...
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Centro Hospitalar do Porto
2017-12-01
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Online Access: | http://revistas.rcaap.pt/nascercrescer/article/view/9826 |
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doaj-90ec98eb0533419c9c0762b042f01d7d2020-11-24T22:57:31ZengCentro Hospitalar do PortoNascer e Crescer 0872-07542183-94172017-12-012642552579364Lumbar tattoo and labour analgesia: a case of surgical approachMélanie Duque0José Lopes1Sandy Ribeiro2Isabel Araújo3Department of Anesthesiology, Hospital de São Teotónio, Centro Hospitalar Tondela-ViseuDepartment of Anesthesiology, Hospital de São Teotónio, Centro Hospitalar Tondela-ViseuDepartment of Anesthesiology, Hospital de São Teotónio, Centro Hospitalar Tondela-ViseuDepartment of Anesthesiology, Hospital de São Teotónio, Centro Hospitalar Tondela-ViseuIntroduction: Pregnant women with lumbar tattoo presenting for labour analgesia are currently increasing in number. Many anaesthesiologists are hesitant in placing an epidural catheter over a lumbar tattoo based on a theory that tissue coring of fragments of tattoo pigment into the epidural, subdural or subarachnoid space, could lead to epidermoid tumours or arachnoiditis. For these reasons, it has been recommended to avoid the introduction of epidural needle directly through skin with tattoo pigments. Case Report: We describe a case where the placement of the epidural catheter was made after a surgical incision of the skin to obtain a puncture field free from ink pigment. Conclusion: Surgical approach to epidural catheter placement reduces the risk of the pigment-entrainment phenomenon from the skin to the epidural space.http://revistas.rcaap.pt/nascercrescer/article/view/9826Epiduralpregnantskin incisiontattoo |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mélanie Duque José Lopes Sandy Ribeiro Isabel Araújo |
spellingShingle |
Mélanie Duque José Lopes Sandy Ribeiro Isabel Araújo Lumbar tattoo and labour analgesia: a case of surgical approach Nascer e Crescer Epidural pregnant skin incision tattoo |
author_facet |
Mélanie Duque José Lopes Sandy Ribeiro Isabel Araújo |
author_sort |
Mélanie Duque |
title |
Lumbar tattoo and labour analgesia: a case of surgical approach |
title_short |
Lumbar tattoo and labour analgesia: a case of surgical approach |
title_full |
Lumbar tattoo and labour analgesia: a case of surgical approach |
title_fullStr |
Lumbar tattoo and labour analgesia: a case of surgical approach |
title_full_unstemmed |
Lumbar tattoo and labour analgesia: a case of surgical approach |
title_sort |
lumbar tattoo and labour analgesia: a case of surgical approach |
publisher |
Centro Hospitalar do Porto |
series |
Nascer e Crescer |
issn |
0872-0754 2183-9417 |
publishDate |
2017-12-01 |
description |
Introduction: Pregnant women with lumbar tattoo presenting for labour analgesia are currently increasing in number. Many anaesthesiologists are hesitant in placing an epidural catheter over a lumbar tattoo based on a theory that tissue coring of fragments of tattoo pigment into the epidural, subdural or subarachnoid space, could lead to epidermoid tumours or arachnoiditis. For these reasons, it has been recommended to avoid the introduction of epidural needle directly through skin with tattoo pigments.
Case Report: We describe a case where the placement of the epidural catheter was made after a surgical incision of the skin to obtain a puncture field free from ink pigment.
Conclusion: Surgical approach to epidural catheter placement reduces the risk of the pigment-entrainment phenomenon from the skin to the epidural space. |
topic |
Epidural pregnant skin incision tattoo |
url |
http://revistas.rcaap.pt/nascercrescer/article/view/9826 |
work_keys_str_mv |
AT melanieduque lumbartattooandlabouranalgesiaacaseofsurgicalapproach AT joselopes lumbartattooandlabouranalgesiaacaseofsurgicalapproach AT sandyribeiro lumbartattooandlabouranalgesiaacaseofsurgicalapproach AT isabelaraujo lumbartattooandlabouranalgesiaacaseofsurgicalapproach |
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1716387835848687616 |