Safety guideline: neurological monitoring associated with obstetric neuraxial block 2020
S. M. Yentis, D.N. Lucas, Lia Brigante, Rachel Collis, Peter Cowley, Stacie Denning, William Fawcett, A. Gibson
Abstract
Serious neurological lesions such as vertebral canal haematoma are rare after obstetric regional analgesia/anaesthesia, but early detection may be crucial to avoid permanent damage. This may be hampered by the variable and sometimes prolonged recovery following 'normal' neuraxial block, such that an underlying lesion may easily be missed. These guidelines make recommendations for the monitoring of recovery from obstetric neuraxial block, and escalation should recovery be delayed or new symptoms develop, with the aim of preventing serious neurological morbidity.
Topics & Concepts
MedicineNeuraxial blockadeGuidelineAnesthesiaIntensive care medicineSurgerySpinal anesthesiaPathologySpinal Hematomas and ComplicationsAnesthesia and Pain ManagementSpine and Intervertebral Disc Pathology