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Practice Guideline
. 2008 Sep-Oct;33(5):404-15.
doi: 10.1016/j.rapm.2008.07.527.

ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine

Joseph M Neal  1 , Christopher M Bernards, Admir Hadzic, James R Hebl, Quinn H Hogan, Terese T Horlocker, Lorri A Lee, James P Rathmell, Eric J Sorenson, Santhanam Suresh, Denise J Wedel
Affiliations
Practice Guideline

ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine

Joseph M Neal et al. Reg Anesth Pain Med. 2008 Sep-Oct.

Abstract

Neurologic complications associated with regional anesthesia and pain medicine practice are extremely rare. The ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine addresses the etiology, differential diagnosis, prevention, and treatment of these complications. This Advisory does not focus on hemorrhagic and infectious complications, because they have been addressed by other recent ASRA Practice Advisories. The current Practice Advisory offers recommendations to aid in the understanding and potential limitation of neurologic complications that may arise during the practice of regional anesthesia and pain medicine.

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Comment in

  • Interscalene blocks in anesthetized pediatric patients.
    Devera HV, Furukawa KT, Scavone JA, Matson M, Tumber S. Devera HV, et al. Reg Anesth Pain Med. 2009 Nov-Dec;34(6):603-4; author reply 604-5. doi: 10.1097/AAP.0b013e3181ada612. Reg Anesth Pain Med. 2009. PMID: 19901768 No abstract available.
  • Blocks in anesthetized patients.
    Gadsden J. Gadsden J. Reg Anesth Pain Med. 2009 Nov-Dec;34(6):604; author reply 604-5. doi: 10.1097/AAP.0b013e3181ada5ff. Reg Anesth Pain Med. 2009. PMID: 19901771 No abstract available.

References

    1. Horlocker TT, Wedel DJ, Benzon H, Brown DL, Enneking FK, Heit JA, Mulroy MF, Rosenquist RW, Rowlingson J, Tryba M, Yuan C-S. Regional anesthesia in the anticoagulated patient: Defining the risks (The second ASRA consensus conference on neuraxial anesthesia and anticoagulation). Reg Anesth Pain Med. 2003;28:172–197. - PubMed
    1. Hebl J. Importance and implications of aseptic techniques during regional anesthesia. Reg Anesth Pain Med. 2006;31:311–323. - PubMed
    1. Hebl JR, Neal JM. Infectious complications: A new practice advisory. Reg Anesth Pain Med. 2006;31:289–290. - PubMed
    1. Horlocker T. Regional anesthesia and the immunocompromised patient. Reg Anesth Pain Med. 2006;31:334–345. - PubMed
    1. Rathmell JP. Infectious risks of chronic pain treatments. Reg Anesth Pain Med. 2006;31:346–352. - PubMed

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