Neuraxial anaesthesia and anticoagulation

  • D. J. Wedel
Conference paper


Neurological complications associated with spinal or epidural anaesthesia can be due to toxic effects of the injected agent, incorrect placement of a needle or catheter causing direct neural tissue damage, infectious agents or spinal cord compromise due in turn to ischaemia or mass effect. Adverse events related to the surgical procedure, positioning or a patient’s underlying medical condition can also present as “complications” of regional anaesthesia. Anticipation and prevention of complications, along with their early diagnosis and treatment, are the most important factors in dealing with regional anaesthetic risks. Several large studies have confirmed the rarity of permanent neurological injury associated with this type of anaesthesia [1, 2].


Epidural Anesthesia Epidural Abscess Flaccid Paralysis Anterior Spinal Artery Neuraxial Anaesthesia 
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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • D. J. Wedel
    • 1
  1. 1.Department of AnesthesiologyMayo Clinic College of MedicineRochesterUSA

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