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Excellent anaesthesia and analgesia by either intradural (subarachnoid, spinal, intrathecal) or extradural (epidural, peridural, Caudal) injection is among the most versatile regional blocks available today. Either method can be used for a variety of operations on the lower part of the body, the abdomen, the chest and upper extremities. These blocks are used not only for surgery but for pain relief in the postoperative period and during labour and for diagnostic and therapeutic purposes. Compared to general anesthesia, regional anesthesia offers numerous opportunities for better pain control and patient satisfaction. Modern regional anaesthesia offers low morbidity and mortality rates. As regional anesthesia continues to gain acceptance, providers must be prepared to diagnose and treat any complications that may arise with the use of blocks. In Franace, the number of procedures performed annually has increased twelve fold between 1980 and 1996 associated with numerous advantages and with very few severe complications 1 . Many anesthesiologists perceive regional anesthesia to be a safer and shorter recovery times compared to general anesthesia 2, 3. However, significant morbidity may directly result from regional anesthesia. The incidence of cardiac arrest associated with spinal blockade has been reported to be as much as 0.06% and frequently results in death or brain damage 4, 5 .

Complications of regional anaesthesia with special reference to spinal, Epidural and coudal anaesthesia