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      Serious Complications Related to Regional Anesthesia : Results of a Prospective Survey in France

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          Most cited references 15

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          Cardiac arrest following regional anesthesia with etidocaine or bupivacaine.

           Lisa Albright (1979)
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            Cauda equina syndrome after continuous spinal anesthesia.

            Four cases of cauda equina syndrome occurring after continuous spinal anesthesia are reported. In all four cases, there was evidence of a focal sensory block and, to achieve adequate analgesia, a dose of local anesthetic was given that was greater than that usually administered with a single-injection technique. We postulate that the combination of maldistribution and a relatively high dose of local anesthetic resulted in neurotoxic injury. Suggestions that may reduce the potential for neurotoxicity are discussed. Use of a lower concentration and a "ceiling" or maximum dose of local anesthetic to establish the block should be considered. If maldistribution of local anesthetic is suspected (as indicated by a focal sensory block), the use of maneuvers to increase the spread of local anesthetic is recommended. If such maneuvers prove unsuccessful, the technique should be abandoned.
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              Neurologic deficits following epidural or spinal anesthesia.

               Sheryl Kane (1981)
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                Author and article information

                Journal
                Anesthesiology
                Anesthesiology
                Ovid Technologies (Wolters Kluwer Health)
                0003-3022
                1997
                September 1997
                : 87
                : 3
                : 479-486
                Article
                10.1097/00000542-199709000-00005
                © 1997

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