Regional Anesthesia in the Patient with Preexisting Neurologic Dysfunction
نویسنده
چکیده
Patients with preexisting neurologic disease present a unique challenge to the anesthesiologist. The cause of postoperative neurologic deficits is difficult to evaluate, because neural injury may occur as a result of surgical trauma, tourniquet pressure, prolonged labor, improper patient positioning, or anesthetic technique. Progressive neurologic diseases such as multiple sclerosis may coincidentally worsen perioperatively, independent of the anesthetic method. The most conservative legal approach is to avoid regional anesthesia in these patients. However, high-risk patients, including those with significant cardiopulmonary disease, may benefit medically from regional anesthesia and analgesia. The decision to proceed with regional anesthesia in these patients should be made on a case-by-case basis. Meticulous regional anesthetic technique should be observed to minimize further neurologic injury.
منابع مشابه
Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition).
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