Maintenance of an epidural catheter in the setting of heparin infusion through hepatic artery infusion pump

 

•58-year-old male with a history of bipolar disorder, depression, and colorectal adenocarcinoma with metastases to the liver.

•Underwent liver segmentectomy, cholecystectomy, and placement of a hepatic artery infusion pump (HAIP).

•Thoracic epidural placed preoperatively for postoperative analgesia.

•Intraoperatively, the hepatic artery infusion pump reservoir was filled with 30,000 units of unfractionated heparin in 30 milliliters (mL). 19 mL of heparin infused over 14 days.