Complications associated with regional anesthesia in the obstetric patient.
The majority of obstetric patients are concerned about labor pains but also have fears regarding regional anesthesia and its potential effects on themselves and their babies. Anesthesiologists and obstetricians alike must be familiar with potential complications of obstetric regional anesthesia and analgesia, and also be able to provide the information and reassurance each patient needs. If a problem occurs during labor and delivery, it must be dealt with expertly and immediately. This article discusses the diagnostic clues, laboratory tests, and management of neurologic complications related to obstetric delivery and regional anesthesia, as well as the topics of infections, obstetric- and anesthetic-related neurologic deficits, and special tips on neurologic examination. The most common neurologic complication of spinal and epidural anesthesia, postdural puncture headache, will not be discussed in detail here.
Zakowski
Mark
M
Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. zakowskim@cshs.org
D000765:Anesthesia, Conduction / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D020802:Epidural Abscess / Q000209:etiology; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000209:etiology; D006561:Herpes Simplex / Q000209:etiology; D006801:Humans; D016920:Meningitis, Bacterial / Q000209:etiology; D009422:Nervous System Diseases / Q000209:etiology; D011247:Pregnancy