oa Southern African Journal of Anaesthesia and Analgesia - Editorial



Extracted from text ... EDITORIAL 1 Editorial Epidemiologic series report direct trauma and toxicity as the aetiologies of most neurological complications, and have identified pain during needle placement or injection of local anaesthetic as major risk factors. In 2003 Horlocker et al published a study evaluating the frequency of neurological complications in 4298 thoracic surgical patients undergoing lumbar epidural catheter placement while under general anaesthesia. Epidurals were mainly used for postoperative analgesia with opioids. There were no neurological complications, including spinal haematoma, epidural abscess or catheter site infections, radicular symptoms, or persistent paraesthesias. Six patients developed new neurological symptoms or worsening of ..


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