Perinatal complications associated with neuraxial blocks.
adverse effects
complications
epidural analgesia
neuraxial anaesthesia
obstetrical anaesthesia
spinal anaesthesia
Journal
Ginekologia polska
ISSN: 2543-6767
Titre abrégé: Ginekol Pol
Pays: Poland
ID NLM: 0374641
Informations de publication
Date de publication:
29 Apr 2021
29 Apr 2021
Historique:
received:
28
12
2020
accepted:
01
02
2021
revised:
16
01
2021
entrez:
29
4
2021
pubmed:
30
4
2021
medline:
30
4
2021
Statut:
aheadofprint
Résumé
Regional techniques are the gold standard of obstetric anaesthesia. In both vaginal and Caesarean section deliveries, neuraxial blocks are the most frequently used methods for relieving pain. Although it provides excellent analgesia, regional anaesthesia is associated with certain adverse side effects and possible complications. In this narrative review, we bring together all available data and create a catalogue of complications resulting from the use of perinatal neuraxial anaesthesia which we divide according to their severity and the duration of their impact on patients' health. We focus on complications that have significant or long-term consequences. Even though their incidence is low at 1:1600 neuraxial anaesthetics performed, we believe that better understanding of the possible severe problems that can result from regional anaesthesia procedures would enhance the overall safety of patients during labour, delivery, and the postpartum period. Despite the pivotal role neuraxial techniques play in providing anaesthesia for parturients, there is a lack of good quality studies on the incidence of complications. We believe that a thorough assessment of the occurrence of complications should be carried out by analysing data from nationwide medical databases. By analysing the adverse side effects, both qualitatively and quantitatively, we think it possible to further improve the quality of patient care.
Identifiants
pubmed: 33914309
pii: VM/OJS/J/72479
doi: 10.5603/GP.a2021.0047
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM