Neurologic complications of neuraxial analgesia for labor

David Birnbach, Marcelle Hernandez, André A J Van Zundert

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose of review: In today's anesthesia practice, provision of neuraxial anesthesia and analgesia is increasing. Along with the patient's fear of paralysis that accompanies placement of a needle near the spinal cord, any subsequent nerve deficit is usually blamed on the neuraxial block provided. Knowing the side effects from labor, neuraxial anesthesia or both is important as anesthesiologists are the first consultants to evaluate whenever a complication arises in these patients if there is a sensory or motor deficit in the lower extremities. Recent findings: Neuraxial anesthesia may be associated with complaints of back pain, postdural puncture headache and severe complications (e.g., hematoma, abscess), but most complications following neuraxial blocks are associated with pregnancy and delivery, not the anesthetic. Signs and symptoms of the most common neurologic complications are described so that the clinician can promptly diagnose and treat these patients and seek appropriate consultation. Summary: Even though the incidence of true neurologic complications arising from neuraxial anesthesia is not known, they appear to be very rare. As anesthesiologists, providing care encompasses knowing the side effects and complications of the anesthetic we provide. Many of the nerve palsies that present in the postpartum patient may be of an obstetric origin, but anesthesiologists should be aware of anesthetic-related complications.

Original languageEnglish
Pages (from-to)513-517
Number of pages5
JournalCurrent Opinion in Anaesthesiology
Volume18
Issue number5
StatePublished - Oct 1 2005

Fingerprint

Analgesia
Nervous System
Anesthesia
Anesthetics
Paralysis
Post-Dural Puncture Headache
Anesthesia and Analgesia
Back Pain
Consultants
Hematoma
Abscess
Postpartum Period
Obstetrics
Signs and Symptoms
Fear
Needles
Lower Extremity
Spinal Cord
Referral and Consultation
Pregnancy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Birnbach, D., Hernandez, M., & Van Zundert, A. A. J. (2005). Neurologic complications of neuraxial analgesia for labor. Current Opinion in Anaesthesiology, 18(5), 513-517.

Neurologic complications of neuraxial analgesia for labor. / Birnbach, David; Hernandez, Marcelle; Van Zundert, André A J.

In: Current Opinion in Anaesthesiology, Vol. 18, No. 5, 01.10.2005, p. 513-517.

Research output: Contribution to journalArticle

Birnbach, D, Hernandez, M & Van Zundert, AAJ 2005, 'Neurologic complications of neuraxial analgesia for labor', Current Opinion in Anaesthesiology, vol. 18, no. 5, pp. 513-517.
Birnbach, David ; Hernandez, Marcelle ; Van Zundert, André A J. / Neurologic complications of neuraxial analgesia for labor. In: Current Opinion in Anaesthesiology. 2005 ; Vol. 18, No. 5. pp. 513-517.
@article{729aace7b7f44530b15c8a41e0dedddc,
title = "Neurologic complications of neuraxial analgesia for labor",
abstract = "Purpose of review: In today's anesthesia practice, provision of neuraxial anesthesia and analgesia is increasing. Along with the patient's fear of paralysis that accompanies placement of a needle near the spinal cord, any subsequent nerve deficit is usually blamed on the neuraxial block provided. Knowing the side effects from labor, neuraxial anesthesia or both is important as anesthesiologists are the first consultants to evaluate whenever a complication arises in these patients if there is a sensory or motor deficit in the lower extremities. Recent findings: Neuraxial anesthesia may be associated with complaints of back pain, postdural puncture headache and severe complications (e.g., hematoma, abscess), but most complications following neuraxial blocks are associated with pregnancy and delivery, not the anesthetic. Signs and symptoms of the most common neurologic complications are described so that the clinician can promptly diagnose and treat these patients and seek appropriate consultation. Summary: Even though the incidence of true neurologic complications arising from neuraxial anesthesia is not known, they appear to be very rare. As anesthesiologists, providing care encompasses knowing the side effects and complications of the anesthetic we provide. Many of the nerve palsies that present in the postpartum patient may be of an obstetric origin, but anesthesiologists should be aware of anesthetic-related complications.",
author = "David Birnbach and Marcelle Hernandez and {Van Zundert}, {Andr{\'e} A J}",
year = "2005",
month = "10",
day = "1",
language = "English",
volume = "18",
pages = "513--517",
journal = "Current Opinion in Anaesthesiology",
issn = "0952-7907",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Neurologic complications of neuraxial analgesia for labor

AU - Birnbach, David

AU - Hernandez, Marcelle

AU - Van Zundert, André A J

PY - 2005/10/1

Y1 - 2005/10/1

N2 - Purpose of review: In today's anesthesia practice, provision of neuraxial anesthesia and analgesia is increasing. Along with the patient's fear of paralysis that accompanies placement of a needle near the spinal cord, any subsequent nerve deficit is usually blamed on the neuraxial block provided. Knowing the side effects from labor, neuraxial anesthesia or both is important as anesthesiologists are the first consultants to evaluate whenever a complication arises in these patients if there is a sensory or motor deficit in the lower extremities. Recent findings: Neuraxial anesthesia may be associated with complaints of back pain, postdural puncture headache and severe complications (e.g., hematoma, abscess), but most complications following neuraxial blocks are associated with pregnancy and delivery, not the anesthetic. Signs and symptoms of the most common neurologic complications are described so that the clinician can promptly diagnose and treat these patients and seek appropriate consultation. Summary: Even though the incidence of true neurologic complications arising from neuraxial anesthesia is not known, they appear to be very rare. As anesthesiologists, providing care encompasses knowing the side effects and complications of the anesthetic we provide. Many of the nerve palsies that present in the postpartum patient may be of an obstetric origin, but anesthesiologists should be aware of anesthetic-related complications.

AB - Purpose of review: In today's anesthesia practice, provision of neuraxial anesthesia and analgesia is increasing. Along with the patient's fear of paralysis that accompanies placement of a needle near the spinal cord, any subsequent nerve deficit is usually blamed on the neuraxial block provided. Knowing the side effects from labor, neuraxial anesthesia or both is important as anesthesiologists are the first consultants to evaluate whenever a complication arises in these patients if there is a sensory or motor deficit in the lower extremities. Recent findings: Neuraxial anesthesia may be associated with complaints of back pain, postdural puncture headache and severe complications (e.g., hematoma, abscess), but most complications following neuraxial blocks are associated with pregnancy and delivery, not the anesthetic. Signs and symptoms of the most common neurologic complications are described so that the clinician can promptly diagnose and treat these patients and seek appropriate consultation. Summary: Even though the incidence of true neurologic complications arising from neuraxial anesthesia is not known, they appear to be very rare. As anesthesiologists, providing care encompasses knowing the side effects and complications of the anesthetic we provide. Many of the nerve palsies that present in the postpartum patient may be of an obstetric origin, but anesthesiologists should be aware of anesthetic-related complications.

UR - http://www.scopus.com/inward/record.url?scp=26244443066&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26244443066&partnerID=8YFLogxK

M3 - Article

C2 - 16534285

AN - SCOPUS:26244443066

VL - 18

SP - 513

EP - 517

JO - Current Opinion in Anaesthesiology

JF - Current Opinion in Anaesthesiology

SN - 0952-7907

IS - 5

ER -