NERVE BLOCKS
asra-rsc-edu-2016-peripheral-nerve-blocks-2016-10-oct-27
asra-rsc-edu-2016-peripheral-nerve-blocks-2016-10-oct-27
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NEURAXIAL <strong>BLOCKS</strong><br />
Technique Distribution Complications Incidence & Notes<br />
Spinal<br />
Epidural<br />
Surgery Location<br />
Upper Abdominal<br />
Intestinal<br />
Gynecologic<br />
Urologic<br />
Vaginal Delivery<br />
Hip<br />
Prostate<br />
Thigh<br />
Lower Leg Amputation<br />
Foot & Ankle<br />
Perineal & Anal<br />
T4<br />
T6<br />
T10<br />
L1<br />
L2<br />
S2-S5<br />
Thoracic<br />
Catheter placement:<br />
Abdominal Vertebral space<br />
corresponding to<br />
middle of surgical<br />
Labor Pain<br />
incision<br />
Cesarean Delivery<br />
Hip<br />
Lower Extremity<br />
L2-L4<br />
Level<br />
Meningitis<br />
Post-dural Puncture H/A<br />
High Spinal Blockade<br />
Cardiovascular Collapse<br />
Neurologic Injury<br />
Spinal Hematoma<br />
Cauda Equina Syndrome<br />
Meningitis<br />
Post-dural Puncture H/A<br />
Subdural Puncture<br />
Spinal Cord / Nerve Injury<br />
Cauda Equina Syndrome<br />
Epidural Abscess<br />
Epidural Hematoma<br />
Minor Back Pain<br />
SECTION AUTHOR:<br />
JASON PAWLOWSKY, DO<br />
3.7-7.2 in 100k 1<br />
0.37-2.7% 2 use of larger needle &<br />
cutting point vs pencilpoint<br />
needle↑ risk<br />
Varies<br />
0.025% 3<br />
0.3% 3 including peripheral n. injuries<br />
& cauda equina syndrome<br />
0.00063% 4<br />
1 in 550k 5<br />
5 in 450k 6<br />
Varies<br />
0.82% 7 may result in high spinal<br />
0.03-0.1% 4<br />
1 in 170k 5<br />
0.2-83 in 100k 1<br />
26 in 450k 6<br />
20-30% 4