© Springer International Publishing AG 2017Brendan T. Finucane and Ban C.H. Tsui (eds.)Complications of Regional Anesthesia10.1007/978-3-319-49386-2_25 25. Local and Regional Anesthesia in Plastic Surgery: Safety Considerations and Management of Adverse Events John Mesa1 , Don Lalonde2 and Luis O. Vasconez3,…
Fig. 18.1 This shows that a substantial portion of the claims against regional anesthesia complications are for temporary injury. Reproduced with permission of Wolters Kluwer Health, Inc. Lee LA, Posner…
Bolus Infusion Midazolam 0.5–2 mg (titrated up to 0.07 mg/kg) Remifentanil 0.05–0.0625 μg/kg/min Fentanyl 0.25–0.5 μg/kg Propofol 1.5–3 mg/kg/h (25–50 μg/kg/min) Ketamine 0.1–0.2 mg/kg Dexmedetomidine 0.2–0.7 μg/kg/h Table 17.2 Suggested…
Fig. 15.1 Transverse and paramedian longitudinal ultrasound images at lumbar region The anesthesiologist should make the best possible effort to prevent unsuccessful spinal anesthesia by careful technique which ensures free…
Technique Complication Incidence (per 10,000 blocks) Spinal anesthesia Radiculopathy/neuropathy 3.78 Cauda equina syndrome 0.11 Intracranial event 0.03 Paraplegia 0.06 Epidural analgesia Radiculopathy/neuropathy 2.19 Cauda equina syndrome 0.23 Intracranial event 0.07…
Author, year Number of patients Population Regional techniques Antibiotic prophylaxis Duration of indwelling catheter Complications Kane [19] 115,000 Surgical and obstetric 65,000 spinal Unknown Unknown 3 meningitis (all after spinal…
Perioperative pain management [6] Treatment of vasospasm induced by Raynaud disease [7] Sympathectomy and vasodilatation for improvement of blood flow after microvascular surgery [8] Limb salvage surgery [9] Digit transfer…
High-risk procedures Intermediate-risk procedures Low-risk procedures • Spinal cord stimulation trial and implant • Interlaminar epidural steroid injections • Peripheral nerve blocks • Intrathecal catheter and pump implant • Transforaminal epidural steroid injections • Peripheral joint…
© Springer International Publishing AG 2017Brendan T. Finucane and Ban C.H. Tsui (eds.)Complications of Regional Anesthesia10.1007/978-3-319-49386-2_6 6. Regional Anesthesia in the Presence of Neurologic Disease John Shepler1 , Andrea Kattula2, 3 and George Arndt1 (1) Department of Anesthesia, University…
Fig. 5.1 Choice of lumbar interspace . A small gauge needle attached to a 5 mL disposable syringe containing the local anesthetic solution (such as 1 or 2% lidocaine) is…
