Agarwal Anil, Kishore Kamal
Professor, Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow 226 014, INDIA.
Indian J Anaesth. 2009 Oct;53(5):543-53.
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.
区域麻醉的并发症早已为人所知。幸运的是，严重并发症很少见。安全、有效地实施神经轴索麻醉需要详细了解潜在并发症、其发生率以及与其发生相关的危险因素。脊髓麻醉的并发症发生率高于硬膜外麻醉。由于这些并发症很少见，所以现有研究主要是回顾性的，提供了有关发生率及其关联的信息，但不一定能证明因果关系。关于区域麻醉的使用存在许多争议领域，例如在门诊手术、硬膜外试验剂量、其在感染/发热/免疫功能低下患者、神经系统疾病患者以及接受抗凝剂治疗患者中的安全性。基于负责麻醉医生的判断，提出的建议可能是可接受的。共识声明旨在鼓励安全和高质量的患者护理，但不能保证特定的结果。
