Neurological Complications After Regional Anesthesia: Contemporary Estimates of Risk

Anesthesia and Analgesia - Tập 104 Số 4 - Trang 965-974 - 2007
Richard Brull1,2, Colin J. L. McCartney2, Vincent Chan2, Hossam El‐Beheiry2
1reprint requests to Richard Brull, MD, FRCPC, Department of Anesthesia, Toronto Western Hospital, University Health Network, 399 Bathurst St., Toronto, Ontario, Canada M5T 2S8. Address e-mail to [email protected].
2the Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Tóm tắt

Từ khóa


Tài liệu tham khảo

Ballantyne, 1998, The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials., Anesth Analg, 86, 598, 10.1213/00000539-199803000-00032

Beattie, 2001, Epidural analgesia reduces postoperative myocardial infarction: a meta-analysis., Anesth Analg, 93, 853, 10.1097/00000539-200110000-00010

Rodgers, 2000, Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials., BMJ, 321, 1493, 10.1136/bmj.321.7275.1493

Urwin, 2000, General versus regional anaesthesia for hip fracture surgery: a meta-analysis of randomized trials., Br J Anaesth, 84, 450, 10.1093/oxfordjournals.bja.a013468

Wu, 2004, Effect of postoperative epidural analgesia on morbidity and mortality following surgery in medicare patients., Reg Anesth Pain Med, 29, 525, 10.1016/j.rapm.2004.07.002

Buist, 1990, A survey of the practice of regional anaesthesia., J R Soc Med, 83, 709, 10.1177/014107689008301112

Chelly, 2003, Anesthesia and postoperative analgesia: outcomes following orthopedic surgery., Orthopedics, 26, 865, 10.3928/0147-7447-20030802-08

Hadzic, 2004, A comparison of infraclavicular nerve block versus general anesthesia for hand and wrist day-case surgeries., Anesthesiology, 101, 127, 10.1097/00000542-200407000-00020

Hadzic, 2005, For outpatient rotator cuff surgery, nerve block anesthesia provides superior same-day recovery over general anesthesia., Anesthesiology, 102, 1001, 10.1097/00000542-200505000-00020

Hadzic, 2005, Peripheral nerve blocks result in superior recovery profile compared with general anesthesia in outpatient knee arthroscopy., Anesth Analg, 100, 976, 10.1213/01.ANE.0000150944.95158.B9

McCartney, 2004, Early but no long-term benefit of regional compared with general anesthesia for ambulatory hand surgery., Anesthesiology, 101, 461, 10.1097/00000542-200408000-00028

Chan, 2001, A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery: clinical outcome and cost analysis., Anesth Analg, 93, 1181, 10.1097/00000539-200111000-00025

Bonica, 1957, Peridural block: analysis of 3,637 cases and a review., Anesthesiology, 18, 723, 10.1097/00000542-195709000-00008

Dripps, 1954, Long-term follow-up of patients who received 10,098 spinal anesthetics: failure to discover major neurological sequelae., J Am Med Assoc, 156, 1486, 10.1001/jama.1954.02950160016005

Phillips, 1969, Neurologic complications following spinal anesthesia with lidocaine: a prospective review of 10,440 cases., Anesthesiology, 30, 284, 10.1097/00000542-196903000-00011

Usubiaga, 1975, Neurological complications following epidural anesthesia., Int Anesthesiol Clin, 13, 1

Vandam, 1955, A long-term follow-up of 10,098 spinal anesthetics. II. Incidence and analysis of minor sensory neurological defects., Surgery, 38, 463

Dawkins, 1969, An analysis of the complications of extradural and caudal block., Anaesthesia, 24, 554, 10.1111/j.1365-2044.1969.tb02909.x

Lund, 1968, Modern trends in spinal anaesthesia., Can Anaesth Soc J, 15, 118, 10.1007/BF03005719

Noble, 1971, A review of the complications of spinal anaesthesia with experiences in Canadian teaching hospitals from 1959 to 1969., Can Anaesth Soc J, 18, 5, 10.1007/BF03025422

Selander, 1979, Paresthesiae or no paresthesiae? Nerve lesions after axillary blocks., Acta Anaesthesiol Scand, 23, 27, 10.1111/j.1399-6576.1979.tb01417.x

Hargett, 2005, Guidelines for regional anesthesia fellowship training., Reg Anesth Pain Med, 30, 218, 10.1016/j.rapm.2005.02.008

Horlocker, 2003, Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation)., Reg Anesth Pain Med, 28, 172

Borgeat, 2003, Evaluation of the lateral modified approach for continuous interscalene block after shoulder surgery., Anesthesiology, 99, 436, 10.1097/00000542-200308000-00026

Borgeat, 2004, Clinical evaluation of a modified posterior anatomical approach to performing the popliteal block., Reg Anesth Pain Med, 29, 290, 10.1016/j.rapm.2004.01.007

Capdevila, 2002, Continuous psoas compartment block for postoperative analgesia after total hip arthroplasty: new landmarks, technical guidelines, and clinical evaluation., Anesth Analg, 94, 1606, 10.1213/00000539-200206000-00045

Carles, 2001, An evaluation of the brachial plexus block at the humeral canal using a neurostimulator (1417 patients): the efficacy, safety, and predictive criteria of failure., Anesth Analg, 92, 194, 10.1097/00000539-200101000-00037

Farny, 1994, Posterior approach to the lumbar plexus combined with a sciatic nerve block using lidocaine., Can J Anaesth, 41, 486, 10.1007/BF03011542

Farny, 1994, Anatomy of the posterior approach to the lumbar plexus block., Can J Anaesth, 41, 480, 10.1007/BF03011541

McLeod, 1994, Lateral popliteal sciatic nerve block compared with subcutaneous infiltration for analgesia following foot surgery., Can J Anaesth, 41, 673, 10.1007/BF03015619

Casati, 2005, Bupivacaine, levobupivacaine and ropivacaine: are they clinically different?, Best Pract Res Clin Anaesthesiol, 19, 247, 10.1016/j.bpa.2004.12.003

Nielsen, 2005, Influence of obesity on surgical regional anesthesia in the ambulatory setting: an analysis of 9,038 blocks., Anesthesiology, 102, 181, 10.1097/00000542-200501000-00027

Renck, 1995, Neurological complications of central nerve blocks., Acta Anaesthesiol Scand, 39, 859, 10.1111/j.1399-6576.1995.tb04188.x

Lee, 2004, Injuries associated with regional anesthesia in the 1980s and 1990s: a closed claims analysis., Anesthesiology, 101, 143, 10.1097/00000542-200407000-00023

Harris, 2001, Current methods of the US Preventive Services Task Force: a review of the process., Am J Prev Med, 20, 21, 10.1016/S0749-3797(01)00261-6

Schneider, 1993, Transient neurologic toxicity after hyperbaric subarachnoid anesthesia with 5% lidocaine., Anesth Analg, 76, 1154, 10.1213/00000539-199305000-00044

Brown, 1995, Regional anesthesia and local anesthetic-induced systemic toxicity: seizure frequency and accompanying cardiovascular changes., Anesth Analg, 81, 321

Zaric, 2005, Transient neurologic symptoms after spinal anesthesia with lidocaine versus other local anesthetics: a systematic review of randomized, controlled trials., Anesth Analg, 100, 1811, 10.1213/01.ANE.0000136844.87857.78

Kindler, 1998, Epidural abscess complicating epidural anesthesia and analgesia. An analysis of the literature., Acta Anaesthesiol Scand, 42, 614, 10.1111/j.1399-6576.1998.tb05291.x

Tryba, 1993, [Epidural regional anesthesia and low molecular heparin: Pro.], Anasthesiol Intensivmed Notfallmed Schmerzther, 28, 179, 10.1055/s-2007-998902

Vandermeulen, 1994, Anticoagulants and spinal-epidural anesthesia., Anesth Analg, 79, 1165, 10.1213/00000539-199412000-00024

Wang, 1999, Incidence of spinal epidural abscess after epidural analgesia: a national 1-year survey., Anesthesiology, 91, 1928, 10.1097/00000542-199912000-00046

Lofstrom, 1966, Late disturbances in nerve function after block with local anaesthetic agents. An electroneurographic study., Acta Anaesthesiol Scand, 10, 111, 10.1111/j.1399-6576.1966.tb00336.x

Zar, 1984, Biostatistical analysis. 2nd ed.

Auroy, 2002, Major complications of regional anesthesia in France: the SOS regional anesthesia hotline service., Anesthesiology, 97, 1274, 10.1097/00000542-200211000-00034

Aromaa, 1997, Severe complications associated with epidural and spinal anaesthesias in Finland 1987–1993. A study based on patient insurance claims., Acta Anaesthesiol Scand, 41, 445, 10.1111/j.1399-6576.1997.tb04722.x

Auroy, 1997, Serious complications related to regional anesthesia: results of a prospective survey in France., Anesthesiology, 87, 479, 10.1097/00000542-199709000-00005

Horlocker, 1997, A retrospective review of 4767 consecutive spinal anesthetics: central nervous system complications. Perioperative Outcomes Group., Anesth Analg, 84, 578

Dahlgren, 1995, Neurological complications after anaesthesia. A follow-up of 18,000 spinal and epidural anaesthetics performed over three years., Acta Anaesthesiol Scand, 39, 872, 10.1111/j.1399-6576.1995.tb04190.x

Scott, 1995, Serious complications associated with epidural/spinal blockade in obstetrics: a two-year prospective study., Int J Obstet Anesth, 4, 133, 10.1016/0959-289X(95)82967-F

Moen, 2004, Severe neurological complications after central neuraxial blockades in Sweden 1990–1999., Anesthesiology, 101, 950, 10.1097/00000542-200410000-00021

Horlocker, 2003, Small risk of serious neurologic complications related to lumbar epidural catheter placement in anesthetized patients., Anesth Analg, 96, 1547, 10.1213/01.ANE.0000057600.31380.75

Paech, 1998, Complications of obstetric epidural analgesia and anaesthesia: a prospective analysis of 10,995 cases., Int J Obstet Anesth, 7, 5, 10.1016/S0959-289X(98)80021-6

Giebler, 1997, Incidence of neurologic complications related to thoracic epidural catheterization., Anesthesiology, 86, 55, 10.1097/00000542-199701000-00009

Holdcroft, 1995, Neurological complications associated with pregnancy., Br J Anaesth, 75, 522, 10.1093/bja/75.5.522

Candido, 2005, Neurologic sequelae after interscalene brachial plexus block for shoulder/upper arm surgery: the association of patient, anesthetic, and surgical factors to the incidence and clinical course., Anesth Analg, 100, 1489, 10.1213/01.ANE.0000148696.11814.9F

Capdevila, 2005, Continuous peripheral nerve blocks in hospital wards after orthopedic surgery: a multicenter prospective analysis of the quality of postoperative analgesia and complications in 1416 patients., Anesthesiology, 103, 1035, 10.1097/00000542-200511000-00018

Weber, 2002, Scalene regional anesthesia for shoulder surgery in a community setting: an assessment of risk., J Bone Joint Surg Am, 84, 775, 10.2106/00004623-200205000-00012

Borgeat, 2001, Acute and nonacute complications associated with interscalene block and shoulder surgery: a prospective study., Anesthesiology, 95, 875, 10.1097/00000542-200110000-00015

Fanelli, 1999, Nerve stimulator and multiple injection technique for upper and lower limb blockade: failure rate, patient acceptance, and neurologic complications. Study Group on Regional Anesthesia., Anesth Analg, 88, 847, 10.1213/00000539-199904000-00031

Bergman, 2003, Neurologic complications of 405 consecutive continuous axillary catheters., Anesth Analg, 96, 247, 10.1213/00000539-200301000-00050

Hebl, 2001, Regional anesthesia does not increase the risk of postoperative neuropathy in patients undergoing ulnar nerve transposition., Anesth Analg, 93, 1606, 10.1097/00000539-200112000-00058

Horlocker, 1999, The risk of persistent paresthesia is not increased with repeated axillary block., Anesth Analg, 88, 382, 10.1213/00000539-199902000-00030

Pearce, 1996, Axillary brachial plexus block in two hundred consecutive patients., Anaesth Intensive Care, 24, 453, 10.1177/0310057X9602400407

Cooper, 1995, Perceptions of side effects following axillary block used for outpatient surgery., Reg Anesth, 20, 212

Stan, 1995, The incidence of neurovascular complications following axillary brachial plexus block using a transarterial approach. A prospective study of 1,000 consecutive patients., Reg Anesth, 20, 486

Macaire, 2002, [Evaluation et Traitement de la Douleur.], 37

Cuvillon, 2001, The continuous femoral nerve block catheter for postoperative analgesia: bacterial colonization, infectious rate and adverse effects., Anesth Analg, 93, 1045, 10.1097/00000539-200110000-00050

Provenzano, 2002, Safety and efficacy of the popliteal fossa nerve block when utilized for foot and ankle surgery., Foot Ankle Int, 23, 394, 10.1177/107110070202300504

Hadzic, 1998, The practice of peripheral nerve blocks in the United States: a national survey., Reg Anesth Pain Med, 23, 241, 10.1097/00115550-199823030-00002

Clergue, 1999, French survey of anesthesia in 1996., Anesthesiology, 91, 1509, 10.1097/00000542-199911000-00045

Phillips, 2002, Epidural abscess complicating insertion of epidural catheters., Br J Anaesth, 89, 778, 10.1093/bja/89.5.778

Winchell, 1985, The incidence of neuropathy following upper extremity nerve blocks., Reg Anesth, 10, 12

Weeks, 1994, Regional anaesthesia and subsequent long-term pain., J Hand Surg [Br], 19, 342, 10.1016/0266-7681(94)90086-8

Urban, 1994, Evaluation of brachial plexus anesthesia for upper extremity surgery., Reg Anesth, 19, 175

Marinacci, 1960, Neurological aspects of complications of spinal anesthesia, with medicolegal implications., Bull Los Angeles Neurol Soc, 25, 170

Horlocker, 2000, Neurologic complications of spinal and epidural anesthesia., Reg Anesth Pain Med, 25, 83, 10.1097/00115550-200001000-00017

Auroy, 2004, Risk assessment and control require analysis of both outcomes and process of care., Anesthesiology, 101, 815, 10.1097/00000542-200410000-00002

Cullen, 1995, The incident reporting system does not detect adverse drug events: a problem for quality improvement., Jt Comm J Qual Improv, 21, 541

Ho, 2002, Estimating with confidence the risk of rare adverse events, including those with observed rates of zero., Reg Anesth Pain Med, 27, 207