Complication Nerve localization technique Nerve stimulation (N = 2507) Ultrasound (N = 5141) Other (N = 541) Total (N = 8189) Local anesthetic toxicity 1.2 (0.25–3.5) 0.8 (0.2–2.0)† 1.8 (0.05–10.3)…

Registry Outcomes Comments American College of Surgeons National Surgical Quality Improvement Program Operative morbidity and mortality Developed risk models for specific complications [21] The Society of Thoracic Surgeons, National Database…

© 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…

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…

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…

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…

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…