Neurological complications in obstetric regional anaesthesia

Abstract: Neurological complications in the postnatal period can cause significant morbidity in a population that is previously fit and healthy. The majority of neurological complications are due to compressive neuropathy resulting from prolonged labour, poor patient positioning or mode of delivery. Such neuropathies usually resolve within a few months. In 2009 the National Anaesthesia Audit Project (NAP3) identified that 45% of all central neuraxial blocks (CNB) are performed for obstetric reasons. While the incidence of neurological damage due to CNB is low it can result in permanent harm. It is important to understand the complications that can arise and how to prevent them. When neurological complications do occur prompt recognition and management can reduce the risk of a permanent neurological deficit.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Authors: Tags: Obstetric anesthesia Source Type: research