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Serious Complications Related to Regional Anesthesia

Anesthesiology · 1997 · Vol. 87(3) · pp. 479–486

Yves Auroy✉(Hôpital d'Instruction des Armées Bégin)P. Narchi(Hôtel-Dieu de France)Antoine Messiah(Bicêtre Hospital)Lawrence Litt(University of California, San Francisco)B. Rouvier(Hôpital d'instruction des Armées Percy)Kamran Samii(Bicêtre Hospital)

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Abstract

(1) The incidence of cardiac arrest and neurologic injury related to regional anesthesia were very low, but both were more than three SDs greater after spinal anesthesia than after other regional procedures. (2) Two thirds of the patients with neurologic deficits had either a paresthesia during needle placement or pain on injection. (3) Seventy-five percent of the neurologic deficits after nontraumatic spinal anesthesia occurred in patients who had received hyperbaric lidocaine, 5%.

Anesthesia and Pain Management Spine and Intervertebral Disc Pathology Spinal Hematomas and ComplicationsMedicineAnesthesiaRegional anesthesiaComplicationIncidence (geometry)Cauda equina syndromeParaplegiaSurgeryCauda equinaSpinal cord