Epidural hematoma after neuraxial blockade: a retrospective report from China.
We conducted a detailed 54-year retrospective review of patients who developed epidural hematoma after neuraxial blockade in a university hospital and throughout Mainland China. Incidence, risk factors, and outcomes in the Chinese population were identified. The incidence of epidural hematoma after neuraxial blockade was 2.14 of 100,000 (95% confidence interval: 0.44-6.25 of 100,000). Patients who had a bacterial infection and required emergency surgery were at increased risk of developing epidural hematoma. There is a significant correlation between good neurologic recovery and short interval to decompressive surgery.
Li
Shuang-Ling
SL
Department of Anesthesiology and Surgical Intensive Care, Peking University First Hospital, Beijing, China.
Wang
Dong-Xin
DX
Ma
Daqing
D
D000368:Aged; D015360:Analgesia, Epidural / Q000009:adverse effects*; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D001424:Bacterial Infections / Q000150:complications; D002681:China / Q000453:epidemiology; D019299:Decompression, Surgical; D005260:Female; D046748:Hematoma, Epidural, Spinal / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects*; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome