CONTEXT: The incidence of epidural haematoma after epidural anaesthesia is uncertain. OBJECTIVE: To quantify epidural haematoma after epidural anaesthesia in 2008 and 2009 in a network for safety in regional anaesthesia in Germany. DESIGN: Analysis of data systematically documented within the German network for safety in regional anaesthesia. SETTING: A regional anaesthesia register for clinics recording their clinical practice was set up according to a consented protocol. After checking the registry for the presence of epidural haematoma, all participating centres were asked for the number of epidural haematoma and the number of neuraxial procedures performed during the 2 years. Patient-specific information regarding procedures and outcome were requested. MAIN OUTCOME MEASURES: The incidence of epidural haematoma in the network with comorbidities, coagulation status and time from first symptoms, also the performance of MRI and laminectomy. RESULTS: During a period of 2 years, 33,142 non-obstetric epidural blocks were performed. Five thoracic epidural and one cranial haematoma occurred. DISCUSSION: The incidence of spinal haematoma was 1: 6 628 in this general surgical population. When local anaesthetics are continuously applied, progressive motor block should increase the level of suspicion. When accompanied by pain or paraesthesia, progression to diagnosis by MRI is mandatory.
CONTEXT: The incidence of epidural haematoma after epidural anaesthesia is uncertain. OBJECTIVE: To quantify epidural haematoma after epidural anaesthesia in 2008 and 2009 in a network for safety in regional anaesthesia in Germany. DESIGN: Analysis of data systematically documented within the German network for safety in regional anaesthesia. SETTING: A regional anaesthesia register for clinics recording their clinical practice was set up according to a consented protocol. After checking the registry for the presence of epidural haematoma, all participating centres were asked for the number of epidural haematoma and the number of neuraxial procedures performed during the 2 years. Patient-specific information regarding procedures and outcome were requested. MAIN OUTCOME MEASURES: The incidence of epidural haematoma in the network with comorbidities, coagulation status and time from first symptoms, also the performance of MRI and laminectomy. RESULTS: During a period of 2 years, 33,142 non-obstetric epidural blocks were performed. Five thoracic epidural and one cranial haematoma occurred. DISCUSSION: The incidence of spinal haematoma was 1: 6 628 in this general surgical population. When local anaesthetics are continuously applied, progressive motor block should increase the level of suspicion. When accompanied by pain or paraesthesia, progression to diagnosis by MRI is mandatory.
Authors: Ingrid Pabinger-Fasching; Sabine Eichinger-Hasenauer; Josef Grohs; Josef Hochreiter; Norbert Kastner; Hans Christian Korninger; Sibylle Kozek-Langenecker; Stefan Marlovits; Herwig Niessner; Franz Rachbauer; Peter Ritschl; Christian Wurnig; Reinhard Windhager Journal: Wien Klin Wochenschr Date: 2014-05-14 Impact factor: 1.704
Authors: Rosa Klotz; Jan Larmann; Christina Klose; Thomas Bruckner; Laura Benner; Colette Doerr-Harim; Solveig Tenckhoff; Johan F Lock; Elmar-Marc Brede; Roberto Salvia; Enrico Polati; Jörg Köninger; Jan-Henrik Schiff; Uwe A Wittel; Alexander Hötzel; Tobias Keck; Carla Nau; Anca-Laura Amati; Christian Koch; Thomas Eberl; Michael Zink; Ales Tomazic; Vesna Novak-Jankovic; Stefan Hofer; Markus K Diener; Markus A Weigand; Markus W Büchler; Phillip Knebel Journal: JAMA Surg Date: 2020-07-15 Impact factor: 14.766
Authors: Nevriye Salman; Ahmet Baris Durukan; Hasan Alper Gurbuz; Hasan Yamalı; Leyla Guler; Halil Ibrahim Ucar; Cem Yorgancioglu Journal: Med Sci Monit Date: 2013-05-08