Haematoma and abscess after neuraxial anaesthesia : a review of 647 cases
| Autor: | W.P. Vandertop, Markus W. Hollmann, M. de Quelerij, Cor J. Kalkman, Elke M. E. Bos, Philipp Lirk, J. Haumann |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Anesthesia
Epidural Decompression anaesthesia epidural spinal Spontaneous recovery abscess complication Review Cochrane Library Anesthesia Spinal 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Journal Article Humans Medicine Abscess Hematoma business.industry anaesthesia Odds ratio Publication bias medicine.disease Confidence interval epidural Anesthesiology and Pain Medicine anaesthesia spinal haematoma Anesthesia business Complication 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Anaesthesia, 120(4), 693. Oxford University Press Bos, E M E, Haumann, J, de Quelerij, M, Vandertop, W P, Kalkman, C J, Hollmann, M W & Lirk, P 2018, ' Haematoma and abscess after neuraxial anaesthesia : a review of 647 cases ', British Journal of Anaesthesia, vol. 120, no. 4, pp. 693-704 . https://doi.org/10.1016/j.bja.2017.11.105 |
| ISSN: | 0007-0912 |
| DOI: | 10.1016/j.bja.2017.11.105 |
| Popis: | Although rare, spinal haematoma and abscess after central neuraxial blocks may cause severe permanent neurological injury. Optimal treatment and outcome remain unclear. In order to identify possible predisposing patient characteristics and describe the ensuing clinical course, we searched Medline, Embase, and the Cochrane Library for reports of spinal haematomas and abscesses associated with central neuraxial blocks. Extracted data included patient characteristics, symptoms, treatment, and outcome. We analysed 409 reports, including 647 patients (387 patients with spinal haematoma and 260 patients with spinal abscess). Spinal haematoma and abscess occurred predominantly after epidural anaesthesia (58% and 83%, respectively). Neurological recovery was correlated with the severity of initial neurological deficit. When decompression of spinal haematoma was delayed for >12 h after clinical diagnosis, neurological outcome was worse compared with earlier decompression (odds ratio 4.5, 95% confidence interval 2.1-9.9, P |
| Databáze: | OpenAIRE |
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