Neurological complications in obstetric regional anaesthesia

The complications of failure, neural injury and local anaesthetic toxicity are common to all regional anaesthesia techniques, and individual techniques are associated with specific complications. All potential candidates for regional anaesthesia should be thoroughly evaluated and informed of potential complications. If there is significant risk of injury, then these techniques should be avoided.

Complications of regional anaesthesia Incidence and prevention.

https://www.anesthesiology.theclinics.com/article/S0889-8537(05)70164-4/pdf

The combined spinal-epidural technique

https://www.anesthesiology.theclinics.com/article/S1932-2275(07)00107-3/pdf

Neurological Infections After Neuraxial Anesthesia

Complications of regional anaesthesia has been recognised from very long time. Fortunately serious complica­tion are rare. Safe, effective practice of neuraxial anaesthesia requires a detailed knowledge of potential complica­tions, their incidence and risk factors associated with their occurrence. The incidence of complication were higher for spinal than for epidural anaesthesia. These complications being rare, so existing studies are mainly retrospective, providing information about incidence and their associations but not necessarily demonstrate causality.
There are many areas of controversies regarding the usage of regional anaesthesia i.e. in outpatient surgical procedures, epidural test dose, its safety in infected / febrile / immuno compromised patients, / in patients with neurological disorder and in patients receiving anti-coagulants. Recommendations proposed may be acceptable based on the judgment of the responsible anaesthesiologist. The consensus statements are designed to encourage safe and quality patient care but cannot guarantee a specific outcome.

Complications and controversies of regional anaesthesia: a review.

We report a case of Streptococcus salivarius meningitis following combined spinal-epidural analgesia for labour. Although rare, bacterial meningitis following combined spinal-epidural anaesthesia is being increasingly described. We review the previously reported cases and discuss the possible aetiological causes and the aseptic precautions likely to reduce the incidence of infectious complications.

Bacterial meningitis following combined spinal-epidural analgesia for labour.

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Bacterial meningitis following combined spinal-epidural analgesia for labour.