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Regional Anesthesia in the Presence of Neurologic Disease

  • Andrea Kattula
  • Giuditta Angelini
  • George Arndt

Abstract

Performing regional anesthesia in patients with preexisting neurologic or neuromuscular disease remains controversial. Numerous anecdotal reports describe the successful use of regional techniques in a variety of neuromuscular disorders including multiple sclerosis, amyotrophic lateral sclerosis (ALS), muscular dystrophies, myotonias, and others.1 However, a study of significant size to confirm or support the safety of regional anesthesia in these patients continues to remain scarce. Specific guidelines regarding the use of regional techniques in the setting of neurologic disease are difficult to define because of these limitations. Therefore, the goal of this chapter is to review several of the more common neurologic disorders that an anesthesiologist may encounter and outline what information currently exists to help guide the use of regional anesthesia.

Keywords

Multiple Sclerosis Spinal Cord Injury Amyotrophic Lateral Sclerosis Muscular Dystrophy Regional Anesthesia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Andrea Kattula
    • 1
  • Giuditta Angelini
    • 2
  • George Arndt
    • 2
  1. 1.Department of Intensive Care and Department of SurgeryThe Austin HospitalVictoriaAustralia
  2. 2.Department of AnesthesiologyUniversity of Wisconsin HospitalMadisonUSA

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