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Mercier and Marie-Pierre Bonnet state that the evidence for complications when placing epidural catheters is unconvincing, but advocate avoiding the practice owing to the lack of long-term evidence.

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There is consensus that epidural catheters should not be placed through irritated or infected tattoos.

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However, harm has not been clearly documented when placing epidural catheters through healthy tattooed skin; a review in the American Association of Nurse Anesthetists Journal concluded that "epidural catheter placement through lumbar tattoos is a practitioner's decision based on clinical judgment".

Description: Current Opinion in Anesthesiology.

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