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Infectious complications of regional anaesthesia

  • D. J. Wedel
Conference paper

Abstract

Infectious complications may occur after any regional anaesthetic technique, but are of greatest concern if the infection occurs near or within the central neuraxis. Possible risk factors include underlying sepsis, diabetes, depressed immune status, steroid therapy, localised bacterial colonisation or infection, and chronic catheter maintenance. Bacterial infection of the central neuraxis may present as meningitis or cord compression secondary to abscess formation. The infectious source may be exogenous (e.g. contaminated equipment or medication), or endogenous (a bacterial source in the patient seeding to the needle or catheter site). Microorganisms can also be transmitted via a break in aseptic technique, and indwelling catheters may be colonised from a superficial site (skin) and subsequently serve as a wick for spread of infection from the skin to the epidural or intrathecal space.

Keywords

Infectious Complication Regional Anaesthesia Epidural Abscess Dural Puncture Spinal Epidural Abscess 
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-Verlag Italia 2007

Authors and Affiliations

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

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