Journal article
Complications and liability related to regional and neuraxial anesthesia
Best practice & research. Clinical anaesthesiology, v 33(4), pp 487-497
Dec 2019
PMID: 31791565
Abstract
Regional anesthesia is responsible for approximately one-fifth of professional liability claims. The present investigation evaluated common and rare complications related to regional and neuraxial anesthesia, including postdural puncture headache, backache, transient neurological symptoms, inadvertent intrathecal injection, epidural hematoma and abscess, meningitis, arachnoiditis, postoperative urinary retention, local anesthetic systemic toxicity, and cardiac arrest. Regional anesthetic techniques are increasingly used in perioperative care of surgical patients for acute pain management and for chronic pain states. This manuscript also provides an overview and analysis of the existing literature and makes some recommendations in terms of strategies to prevent or minimize the potential patient injury, with a focus on those more commonly associated with patient injury and liability exposure. The role of ultrasound in preventing patient injury during regional anesthesia is also discussed.
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Details
- Title
- Complications and liability related to regional and neuraxial anesthesia
- Creators
- Henry Liu - Department of Anesthesiology, Reading Hospital/Tower Health, Drexel University College of Medicine, 220 Park Road North, Building 9A, Wyomissing, PA 19610, USAMorgan Brown - Louisiana State University Health Sciences Center New OrleansLu Sun - Louisiana State University Health Sciences Center New OrleansShukan P. Patel - Louisiana State University Health Sciences Center New OrleansJinlei Li - Yale UniversityElyse M. Cornett - Department of Anesthesiology, LSU Health Shreveport, 1501 Kings Highway, Shreveport, LA, 71103, USARichard D. Urman - Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USACharles J. Fox - Louisiana State University Health Sciences Center ShreveportAlan David Kaye - Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA
- Publication Details
- Best practice & research. Clinical anaesthesiology, v 33(4), pp 487-497
- Publisher
- Elsevier Ltd
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Anesthesiology and Perioperative Medicine
- Web of Science ID
- WOS:000500348200010
- Scopus ID
- 2-s2.0-85071335599
- Other Identifier
- 991021860706804721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Anesthesiology