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Safety guideline: neurological monitoring associated with obstetric neuraxial block 2020
Author(s) -
Yentis S. M.,
Lucas D. N.,
Brigante L.,
Collis R.,
Cowley P.,
Denning S.,
Fawcett W. J.,
Gibson A.
Publication year - 2020
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.14993
Subject(s) - medicine , neuraxial blockade , guideline , anesthesia , intensive care medicine , surgery , spinal anesthesia , pathology
Summary 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.