Major complications of epidural anesthesia: a prospective study of 5083 cases at a single hospital

Kang, Xianhui; Bao, Feichao; Xiong, Xiaoxing; Li, M.; Jin, Ting-Ting; Shao, Jun; Zhu, Shengmei

doi:10.1111/aas.12360

Cited by 68 publications

(40 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Epidural hematoma is a rare but dreaded complication of neuraxial techniques, with an incidence around 1:150,000 after epidural anesthesia . We did not observe any case of spinal hematoma in our study.…”

Section: Discussionmentioning

confidence: 99%

Acute Pain Service: A 10‐Year Experience

et al. 2019

View full text Add to dashboard Cite

Background Pain management after surgery is crucial to decrease perioperative morbidity and mortality. Acute pain services (APS) are multidisciplinary teams that represent a modern strategy to address pain inside hospitals. The APS defines and applies pain treatment protocols specific for each surgery. To evaluate the performance of the APS at our institute, we performed a large retrospective cohort study focusing on complications of epidural analgesia and IV opiates. Methods Data from the 10 years of activity of the APS were collected. Pain was assessed using the VAS at rest (VASr) and during movement (VASm) at each daily visit; the presence of side effects and complications was also assessed. Results A total of 17,913 adult patients were followed by APS during the study period. Epidural analgesia was used in 7,776 cases (43%), while 9,239 (52%) patients used IV patient‐controlled analgesia (PCA). A combination of the 2 was used in 87 patients (0.5%). A total of 456 perineural catheters (2.6%) were placed, while 442 patients(2.5%) used other analgesic techniques. We recorded 163 dural punctures during catheter placement, with no epidural hematoma, epidural abscess, or meningitis, and no permanent modification in sensitive or motor functions. Conclusions In our large case series, APS was confirmed safe and effective in treating postoperative pain, using both epidural analgesia and IV PCA with morphine.

show abstract

Section: Discussionmentioning

confidence: 99%

Acute Pain Service: A 10‐Year Experience

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Permanent injury to the spinal cord or spinal nerves is a serious complication that can occur with neuraxial anesthesia; however, it is exceedingly rare, with a reported incidence of <4 in 100,000 30 . Transient postoperative neurologic deficits and postdural puncture headache are also associated with the use of spinal anesthesia 31,32 . This study was limited by the characteristics of the ACS-NSQIP database.…”

Section: Discussionmentioning

confidence: 99%

General Compared with Spinal Anesthesia for Total Hip Arthroplasty

Basques

Toy

Bohl

et al. 2015

The Journal of Bone and Joint Surgery

181

120

View full text Add to dashboard Cite

“…6,[9][10][11][12][15][16][17][18][25][26][27][28][29][30][31][32][33][34][35] Some studies report high incidences, in the range of 20-37 events per 100,000 catheterizations. 9,11,26,28 Nevertheless, these studies have a common weakness, that is, a relatively small sample size. The inci-dence of spinal hematoma in non-obstetric EA found in our study (18.5 per 100,000) is consistent with studies including large sample size, which have reported incidences of spinal hematoma in the range of 11-19 per 100,000 catheterizations.…”

Section: Discussionmentioning

confidence: 99%