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Revista Mexicana de Anestesiología

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ISSN 0484-7903 (Print)
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2005, Number 3

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Rev Mex Anest 2005; 28 (3)

The most common complications in 300 lumbar peridural blockades

Reyes-Galindo JM
Full text How to cite this article

Language: Spanish
References: 9
Page: 127-129
PDF size: 43.17 Kb.


Key words:

Peridural blockade, headache, hypotension, dural puncture.

ABSTRACT

Introduction: The most common complications of peridural blockade are hypotension, high spinal anesthesia, backache, dural puncture, urinary retention, vascular or nervous injury, meningitis, cerebral abscess and toxicity due to absorption of the anesthetic. This study was carried out to identify the complications in 300 peridural blockades. Material and methods: Three-hundred anesthetic records of peridural blockades were randomly analyzed to identify all recorded complications and the percentage of each one in relation to the sample. Results: In this study, the only complication was dural puncture in 10 cases, representing 3.3% of the sample. Conclusions: Although other studies report more numerous complications of peridural blockade, in our hospital, where a large number of these blockades are performed, only one complication was seen. This shows that peridural regional anesthesia continues to be a safe and suitable technique for many types of surgeries and patients.


REFERENCES

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  4. Sumihisa A, Kiichiro T, Tomohiro Y, Hiroshi E, Kuki S. Headache after attempted epidural block: The role of intrathecal air. Anesthesiology 1998;88:76-81.

  5. Wedel D. Complicaciones de bloqueo neural central. Rev Mex Anest 1998;21:176-181.

  6. Sharrock. Deliberate hypotensive epidural anesthesia for patients with normal an low cardiac output. Anesth Anals 1994;79:899-904.

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  8. Rubenow T. Inadvertent subdural injection a complication or an epidural block. Anesth Anals 1988;67:175-179.

  9. Rodgers A, Walker N, Schug S, Mckee A, Kehlet H, Van Zundert A, Dsage, Futter M, Saville G, Clarck T, MacMahon S. Reductive of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomized trials. BMJ 2000;321:1493.




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Rev Mex Anest. 2005;28