Epidural was placed by anesthesiologist on august 8th at 6:04 pm.The patient was positioned sitting upright, local anesthesia lidocaine without epinephrine (1%), approach midline, needle (# 17 gauge, placed via loss of resistance technique (with air), catheter inserted into epidural space: 5 cm; insertion level: l3/4.Patient vaginally delivered baby at seven hours later [time redacted].Three hours after delivery [time redacted], rn attempted to discontinue the epidural catheter, with patient sitting on the side of the bed, with feet dangling; she met resistance.Another rn came in and attempted to remove it but also met with resistance.Then the crna was called to the bedside, and she withdrew the catheter and it broke.Per the crna, the catheter snapped off, with the tip still in the patient's back; she stated the catheter felt "brittle," like it was sitting in the sun too long.An anesthesiologist came to the bedside and notes: "wire was still intact and protruding from insertion site.Patient was placed in right lateral position, skin prepped with chloraprep, draped sterile.Total 20 ml 2% lidocaine for skin and sub q local.1.5 inch incision made with 10 blade.Blunt retraction with artery forceps using army-navy to retract.Distal catheter visualized at the end of the wire.Catheter removed without difficulty.Tip found to be intact with no discontinuity of broken ends.Single deep suture with 3.0 vicryl, subcutaneous monocryl, liquid glue and steristrips applied.".
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