Major Neurologic Injury Following Central Neural Blockade

Sage, D.; Fowler, Steven J.

doi:10.1007/978-0-387-68904-3_18

Cited by 2 publications

(1 citation statement)

References 76 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Peripheral nerve block, performed thousands of times daily in operating rooms worldwide is documented to have caused nerve damage leading to lifelong and severe disability (Kaufman 1999). The incidence of permanent paraplegia following regional anesthesia is estimated to be of the order of 1 in 10 000 (Sage 1999). Most anesthesiologists performing regional anesthesia will therefore never be associated with such a case in their entire careers and many feel that the benefits of regional anesthesia (less pain, nausea, and a more rapid convalescence, for example) outweigh its risk in many circumstances.…”

Section: Discussionmentioning

confidence: 99%

Utilities of the Post-anesthesia State derived by the Standard Gamble method in surgical patients

Rashiq

Edlund

Dick

2006

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

BackgroundThere are no published utilities for the post-anesthesia state obtained by the standard gamble method (SG).MethodsWe obtained utilities for postoperative pain, nausea, vomiting, urinary retention and myalgia from 100 adults prior to elective surgery using SG.Results20% of volunteer participants could not demonstrate a satisfactory understanding of the SG process. Median utilities for each adverse effect were all very close to 1.0, and no statistically significant differences were found between them.ConclusionOur results suggest that the avoidance of anesthesia related side effects and pain is not viewed by patients prior to surgery as being worthy of the taking of even a miniscule risk of death. This may affect the decision to utilize anesthesia techniques that trade a lower incidence of common side effects for a very low but finite risk of a catastrophic complication.

show abstract

Section: Discussionmentioning

confidence: 99%