Advertisement

International Morbidity Studies on Regional Anesthesia

  • Lorri A. Lee
  • Karen B. Domino
  • Kari G. Smedstad
  • Nils Dahlgren
  • Yves Auroy
  • Dan Benhamou
  • Albert H. Santora

Abstract

Morbidity studies concerning regional anesthesia have been published by authors in many countries. The purpose of the studies is to document the types of complications that are associated with the practice of regional anesthesia. The studies examine the causes and mechanisms leading to injury, the severity of the injury, the outcome with respect to recovery and survival, and the physician’s culpability in relation to the morbid event.

Keywords

Spinal Anesthesia Regional Anesthesia Legal Action Coronary Perfusion Pressure Epidural Steroid Injection 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cheney FW. The American Society of Anesthesiologists Closed Claims Project. What have we learned, how has it affected practice, and how will it affect practice in the future? Anesthesiology 1999;91:552–556.PubMedCrossRefGoogle Scholar
  2. 2.
    Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA 1991;265:1957–1960.PubMedCrossRefGoogle Scholar
  3. 3.
    Cheney FW, Posner K, Caplan RA, et al. Standard of care and anesthesia liability. JAMA 1989;261:1599–1603.PubMedCrossRefGoogle Scholar
  4. 4.
    Lee LA, Domino KB. The Closed Claims Project. Has it influenced anesthetic practice and outcome? Anesthesiol Clin North Am 2002;20:485–501.CrossRefGoogle Scholar
  5. 5.
    Caplan RA, Ward RJ, Posner KL, et al. Unexpected cardiac arrest during spinal anesthesia: A closed claims analysis of predisposing factors. Anesthesiology 1988;68:5–11.PubMedCrossRefGoogle Scholar
  6. 6.
    Lee LA, Posner KL, Domino KB, et al. Injuries associated with regional anesthesia in the 1980s and 1990s. Anesthesiology 2004;101:143–152.PubMedCrossRefGoogle Scholar
  7. 7.
    Cheney FW, Domino KB, Caplan RA, et al. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999;90:1062–1069.PubMedCrossRefGoogle Scholar
  8. 8.
    Lovstad R, Granhus G, Hetland S. Bradycardia and asystolic cardiac arrest during spinal anaesthesia: a report of five cases. Acta Anaesthesiol Scand 2000;44:48–52.PubMedCrossRefGoogle Scholar
  9. 9.
    Lesser JB, Sanborn KV, Valskys R, et al. Severe bradycardia during spinal and epidural anesthesia recorded by an anesthesia information management system. Anesthesiology 2003;99:859–866.PubMedCrossRefGoogle Scholar
  10. 10.
    Geffin B, Shapiro L. Sinus bradycardia and asystole during spinal and epidural anesthesia: a report of 13 cases. J Clin Anesth 1998;10:278–285.PubMedCrossRefGoogle Scholar
  11. 11.
    Rosenberg J, Wahr J, Sung C, et al. Coronary perfusion pressure during cardiopulmonary resuscitation after spinal anesthesia in dogs. Anesth Analg 1996;82:84–87.PubMedGoogle Scholar
  12. 12.
    Rosenberg J, Wortsman J, Wahr J, et al. Impaired neuroendocrine response mediates refractoriness to cardiopulmonary resuscitation in spinal anesthesia. Crit Care Med 1998;26:533–537.PubMedCrossRefGoogle Scholar
  13. 13.
    Paradis N, Martin G, Rivers E, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA 1990;263: 1106–1113.PubMedCrossRefGoogle Scholar
  14. 14.
    Paradis N, Martin G, Rosenberg J, et al. The effect of standard-and high-dose epinephrine on coronary perfusion pressure during prolonged cardiopulmonary resuscitation. JAMA 1991;265:1139–1144.PubMedCrossRefGoogle Scholar
  15. 15.
    Auroy Y, Narchi P, Messiah A, et al. Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 1997;87:479–486.PubMedCrossRefGoogle Scholar
  16. 16.
    Auroy Y, Benhamou D, Bargues L, et al. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002;97: 1274–1280.PubMedCrossRefGoogle Scholar
  17. 17.
    Dain S, Rolbin S, Hew D. The epidural test dose in obstetrics: is it necessary? Can J Anaesth 1987;34:601–605.PubMedCrossRefGoogle Scholar
  18. 18.
    Norris M, Ferrenbach D, Dalman H, et al. Does epinephrine improve the diagnostic accuracy of aspiration during labor epidural analgesia? Anesth Analg 1999;88:1073–1076.PubMedGoogle Scholar
  19. 19.
    Vandermeulen E, Van Aken V, Vermylen J. Anticoagulants and spinal-epidural anesthesia. Anesth Analg 1994;79:1165–1177.PubMedCrossRefGoogle Scholar
  20. 20.
    Christopherson R, Beattie C, Frank S, et al. Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity vascular surgery. Perioperative Ischemia Randomized Anesthesia Trial Study Group. Anesthesiology 1993;79:422–434.PubMedCrossRefGoogle Scholar
  21. 21.
    Hickey N, Wilkes M, Howes D, et al. The effect of epidural anaesthesia on peripheral resistance and graft flow following femorodistal reconstruction. Eur J Vase Endovasc Surg 1995;9:93–96.CrossRefGoogle Scholar
  22. 22.
    Tuman K, McCarthy R, March R, et al. Effects of epidural anesthesia and analgesia on coagulation and outcome after major vascular surgery. Anesth Analg 1991;73:696–704.PubMedCrossRefGoogle Scholar
  23. 23.
    Rao T, El-Etr A. Anticoagulation following placement of epidural and subarachnoid catheters: an evaluation of neurologic sequelae. Anesthesiology 1981;55:618–620.PubMedCrossRefGoogle Scholar
  24. 24.
    Odoom J, Sih I. Epidural analgesia and anticoagulant therapy: experience with one thousand cases of continuous epidurals. Anesthesia 1983;38:254–259.Google Scholar
  25. 25.
    Baron H, LaRaja R, Rossi G, et al. Continuous epidural analgesia in the heparinized vascular surgical patient: a retrospective review of 912 patients. J Vase Surg 1987;6: 144–146.CrossRefGoogle Scholar
  26. 26.
    Wysowski D, Talarico L, Bacsanyi J, Botstein P. Spinal and epidural hematoma and low-molecular-weight heparin. N Engl J Med 1998;338:1774.PubMedCrossRefGoogle Scholar
  27. 27.
    Saifuddin A, Burnett S, White J. The variation of position of the conus medullaris in an adult population. Spine 1998;23:1452–1456.PubMedCrossRefGoogle Scholar
  28. 28.
    Render C. The reproducibility of the iliac crest as a marker of lumbar spine level. Anaesthesia 1996;51:1070–1071.PubMedCrossRefGoogle Scholar
  29. 29.
    Broadbent CR, Maxwell WB, Ferrie R, et al. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia 2000;55:1122–1126.PubMedCrossRefGoogle Scholar
  30. 30.
    Lybecker H, Moller J, May O, et al. Incidence and prediction of postdural puncture headache. A prospective study of 1021 spinal anesthesias. Anesth Analg 1990;70:389–394.PubMedCrossRefGoogle Scholar
  31. 31.
    Howell C, Dean T, Lucking L, Dziedzic K, Jones P, Johanson R. Randomised study of long term outcome after epidural versus non-epidural analgesia during labour. BMJ 2002;325:357–360.PubMedCrossRefGoogle Scholar
  32. 32.
    Guise PA. Sub-Tenon anesthesia: a prospective study of 6,000 blocks. Anesthesiology 2003;98:964–968.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Fitzgibbon DR, Posner KL, Domino KB, Caplan RA, Lee LA, Cheney FW. Chronic pain management. Anesthesiology 2004;100:98–105.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Duranceau A. The Canadian Medical Protective Association. Bull Am Coll Surg 1998; 83:23–28.Google Scholar
  2. 2.
    Peng P, Smedstad K. Litigation in Canada against anesthesiologists practicing regional anesthesia. A review of closed claims. Can J Anaesth 2000;47:105–112.PubMedCrossRefGoogle Scholar
  3. 3.
    The Canadian Medical Protective Association. 2003 Annual Report. Ottawa, ON.Google Scholar
  4. 4.
    Morley-Forster P. Regional techniques for cesarean section. Tech Reg Anesth Pain Manage 2001;5:24–29.CrossRefGoogle Scholar
  5. 5.
    Oyston J. Obstetrical anesthesia in Ontario. Can J Anaesth 1995;42:1117–1125.PubMedCrossRefGoogle Scholar
  6. 6.
    Morrison S. Mother of twins sues for $2.4 million. The Spectator, Hamilton, ON. Tuesday, August 9,1994.Google Scholar
  7. 7.
    St-Amand J. Medicolegal nightmare: a tragic case, a needless trial. Can Med Assoc J 1993;148:806–809.Google Scholar
  8. 8.
    Norris M, Leighton B, DeSimone C. Needle bevel direction and headache after inadvertent dural puncture. Anesthesiology 1989;70:729–731.PubMedCrossRefGoogle Scholar
  9. 9.
    Jackson A, Henry R, Avery N, et al. Informed consent for labour epidurals: what labouring women want to know. Can J Anaesth 2000;47:1068–1073.PubMedCrossRefGoogle Scholar
  10. 10.
    Smedstad K. Informed consent for epidural analgesia in labour. Can J Anaesth 2000; 47:1055–1059.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades. Anesthesiology 2004;101:950–959.PubMedCrossRefGoogle Scholar
  2. 2.
    Holmström B, Rawal N, Arnér S. The use of regional anesthesia techniques in Sweden: results of a nation-wide survey. Acta Anaesthesiol Scand 1997;41:565–572.PubMedCrossRefGoogle Scholar
  3. 3.
    Caplan RA, Ward RJ, Posner K, Cheney FW. Unexpected cardiac arrest during spinal anesthesia: a closed claims analysis of predisposing factors. Anesthesiology 1988;68: 5–11.PubMedCrossRefGoogle Scholar
  4. 4.
    Aromaa U, Lahdensuu M, Cozanitis DA. Severe complications associated with epidural and spinal anaesthesias in Finland 1987–1993. A study based on patient insurance claims. Acta Anaesthesiol Scand 1997;41:445–452.PubMedCrossRefGoogle Scholar
  5. 5.
    Riegler ML, Drasner DH, Krejcie TC, et al. Cauda equina syndrome after continuous spinal anesthesia. Anesth Analg 1991;72:275–281.CrossRefGoogle Scholar
  6. 6.
    Schneeberger PM, Janssen M, Voss A. Alpha-hemolytic streptococci: a major pathogen of iatrogenic meningitis following lumbar puncture. Infection 1996;24:29–33.PubMedCrossRefGoogle Scholar
  7. 7.
    Broadbent CR, Maxwell WB, Ferrie R, Wilson DJ, Gawne-Cain M, Rüssel R. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia 2000;55: 1122–1126.PubMedCrossRefGoogle Scholar
  8. 8.
    Cottrell JE, Smith DS. Anesthesia and Neurosurgery. 3rd ed. St. Louis: Mosby; 1994. Chapter 4.Google Scholar
  9. 9.
    Schroeder DR. Statistics: detecting a rare adverse drug reaction using spontaneous reports. Reg Anesth Pain Med 1998;23(suppl 2):183–189.PubMedGoogle Scholar
  10. 10.
    Reynolds F. Dural puncture and headache. In: Reynolds F, ed. Regional Analgesia in Obstetrics. A Millennium Update. London: Springer-Verlag; 2000:307–319.CrossRefGoogle Scholar
  11. 11.
    Hawkins JL, Koonin LM, Palmer S K, Gibbs CP. Anesthesia related deaths during obstetric delivery in the United States 1979–1990. Anesthesiology 1997;86:277–284.PubMedCrossRefGoogle Scholar
  12. 12.
    Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K. Serious complications related to regional anesthesia. Anesthesiology 1997;87:479–486.PubMedCrossRefGoogle Scholar
  13. 13.
    Selander D, Sjöstrand J. Longitudinal spread of intraneurally injected local anesthetics. Acta Anaesthesiol Scand 1978;22:622.PubMedCrossRefGoogle Scholar
  14. 14.
    Wulf H. Epidural anesthesia and spinal hematoma. Can J Anaesth 1996;43:126–171.CrossRefGoogle Scholar

Reference

  1. 1.
    Cass NM. Medicolegal claims against anaesthetists: a 20 year study. Anaesth Intensive Care 2004;32(1):47–58.Google Scholar

References

  1. 1.
    Clergue F, Auroy Y, Pequignot F, Jougla E, Lienhart A, Laxenaire MC. French survey of anesthesia in 1996. Anesthesiology 1999;91:1509–1520.PubMedCrossRefGoogle Scholar
  2. 2.
    Dripps RD, Vandam LD. Long term follow-up of patients who received 10,098 spinal anesthetics: failure to discover major neurological sequelae. JAMA 1954;156: 1486–1491.Google Scholar
  3. 3.
    Phillips OC, Ebner H, Nelson A, Black MH. Neurologic complications following spinal anesthesia with lidocaine: a prospective review of 10,440 cases. Anesthesiology 1969; 30:284–289.PubMedCrossRefGoogle Scholar
  4. 4.
    Rodgers A, Walker N, Schug S, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 2000; 321:1493.PubMedCrossRefGoogle Scholar
  5. 5.
    Auroy Y, Benhamou D, Amaberti R. Risk assessment and control require analysis of both outcomes and process of care. Anesthesiology 2004;101:815–817.PubMedCrossRefGoogle Scholar
  6. 6.
    Vincent C, Taylor-Adams S, Chapman EJ, et al. How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol. BMJ 2000;320:777–781.PubMedCrossRefGoogle Scholar
  7. 7.
    Vincent CA. Analysis of clinical incidents: a window on the system not a search for root causes. Qual Saf Health Care 2004;13:242–243.PubMedCrossRefGoogle Scholar
  8. 8.
    Auroy Y, Narchi P, Messiah A, Litt L, Rouvier B, Samii K. Serious complications related to regional anesthesia: results of a prospective survey in France. Anesthesiology 1997; 87:479–486.PubMedCrossRefGoogle Scholar
  9. 9.
    Auroy Y, Benhamou D, Bargues L, et al. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002;97: 1274–1280.PubMedCrossRefGoogle Scholar
  10. 10.
    Gentili M, Aveline C, Bonnet F. Total spinal anesthesia after posterior lumbar plexus block [French]. Ann Fr Anesth Reanim 1998;17:740–742.PubMedGoogle Scholar
  11. 11.
    Auroy Y, Bargue L, Benhamou D, et al. Recommendation of the SOS ALR Group on the use of locoregional anesthesia [French]. Ann Fr Anesth Reanim 2000;19:621–623.PubMedGoogle Scholar
  12. 12.
    Mulroy MF. Systemic toxicity and cardiotoxicity from local anesthetics: incidence and preventive measures. Reg Anesth Pain Med 2002;27:556–561.PubMedGoogle Scholar
  13. 13.
    Abouleish EI, Elias M, Nelson C. Ropivacaine-induced seizure after extradural anaesthesia. Br J Anaesth 1998;80:843–844.PubMedGoogle Scholar
  14. 14.
    Ruetsch YA, Fattinger KE, Borgeat A. Ropivacaine-induced convulsions and severe cardiac dysrhythmia after sciatic block. Anesthesiology 1999;90:1784–1786.PubMedCrossRefGoogle Scholar
  15. 15.
    Reinikainen M, Hedman A, Pelkonen O, Ruokonen E. Cardiac arrest after interscalene brachial plexus block with ropivacaine and lidocaine. Acta Anaesthesiol Scand 2003;47: 904–906.PubMedCrossRefGoogle Scholar
  16. 16.
    Polley LS, Santos AC. Cardiac arrest following regional anesthesia with ropivacaine: here we go again! Anesthesiology 2003;99:1253–1254.PubMedCrossRefGoogle Scholar
  17. 17.
    Chazalon P, Tourtier JP, Villevielle T, et al. Ropivacaine-induced cardiac arrest after peripheral nerve block: successful resuscitation. Anesthesiology 2003;99:1449–1451.PubMedCrossRefGoogle Scholar
  18. 18.
    Schafhalter-Zoppoth I, Zeitz ID, Gray AT. Inadvertent femoral nerve impalement and intraneural injection visualized by ultrasound. Anesth Analg 2004;99:627–628.PubMedCrossRefGoogle Scholar
  19. 19.
    Shah S, Hadzic A, Vloka JD, Cafferty MS, Moucha CS, Santos AC. Neurologic complication after anterior sciatic nerve block. Anesth Analg 2005;100:1515–1517.PubMedCrossRefGoogle Scholar
  20. 20.
    Moen V, Dahlgren N, Irestedt L. Severe neurological complications after central neuraxial blockades in Sweden 1990–1999. Anesthesiology 2004;101:950–959.PubMedCrossRefGoogle Scholar
  21. 21.
    Hyder N, Kessler S, Jennings AG, De Boer PG. Compartment syndrome in tibial shaft fracture missed because of a local nerve block. J Bone Joint Surg Br 1996;78:499–500.PubMedGoogle Scholar
  22. 22.
    Strecker WB, Wood MB, Bieber EJ. Compartment syndrome masked by epidural anesthesia for postoperative pain. Report of a case. J Bone Joint Surg Am 1986;68: 1447–1448.PubMedGoogle Scholar
  23. 23.
    Amalberti R, Auroy Y, Berwick D, Barach P. Five system barriers to achieving ultrasafe health care. Ann Intern Med 2005;142:756–764.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Lorri A. Lee
    • 1
  • Karen B. Domino
    • 1
  • Kari G. Smedstad
    • 2
  • Nils Dahlgren
    • 3
  • Yves Auroy
    • 4
  • Dan Benhamou
    • 5
  • Albert H. Santora
    • 6
  1. 1.Departments of Anesthesiology and Neurological Surgery (adjunct)University of WashingtonSeattleUSA
  2. 2.Department of AnesthesiaMcMaster UniversityHamiltonCanada
  3. 3.Department of AnesthesiaLandskrona County HospitalLandskronaSweden
  4. 4.Department of AnesthesiaHôpital militaire PercyClamartFrance
  5. 5.Department of AnesthesiaHôpital de BicetreLe Kremlin-BicerteFrance
  6. 6.AthensUSA

Personalised recommendations