Indian Journal of Anaesthesia  
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SPECIAL ARTICLE
Year : 2009  |  Volume : 53  |  Issue : 5  |  Page : 543-553

Complications And Controversies of Regional Anaesthesia: A Review


1 Professor, Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow-226 014, India
2 Assistant Professor Anaesthesiology, Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow-226 014, India

Correspondence Address:
Anil Agarwal
Department ofAnaesthesia, SGPGIMS, Lucknow 226014
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640104

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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.


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