Thoracic Epidural Dural Puncture — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

ModerateRegional AnaesthesiaThoracic Epidural Dural PunctureFRCA Final

During thoracic epidural insertion at T7-T8, clear warm fluid testing positive for glucose is aspirated. Most likely complication?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Inadvertent dural puncture with CSF

Clear, warm, glucose-positive fluid = CSF = inadvertent dural puncture. Distinguish from LA (cold, glucose-negative), saline (glucose-negative), blood (obvious). Withdraw and re-attempt at different level.

Reference: RCOA – 2023 – Complications of neuraxial blockade