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NERVE BLOCKS

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

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