Epidural Analgesia for Patients with Chronic Neurological Disease

Crawford, J. Selwyn

doi:10.1213/00000539-198306000-00022

Cited by 28 publications

(9 citation statements)

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“…Two smaller reviews in parturients receiving smaller doses of local anesthetic for labor analgesia have reported similar results. 73,74 Clearly, further investigations with more patients are needed to make definitive recommendations. However, the current data suggest that the decision to perform neuraxial anesthesia in patients with preexisting central nervous system disorders be based on the risks and benefits for each individual patient.…”

Section: Central Nervous System Disordersmentioning

confidence: 99%

Regional Anesthesia in Patients With Preexisting Neurologic Disease

Kopp

Jacob

Hebl

2015

Regional Anesthesia and Pain Medicine

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Since publication of initial recommendations in 2008, there is limited new information regarding the performance of regional anesthesia in patients with preexisting neurologic diseases. However, the strength of evidence has increased since 2008 regarding (1) the concern that diabetic nerves are more sensitive to local anesthetics and perhaps more susceptible to injury and (2) the concern that performing neuraxial anesthesia and analgesia in patients with preexisting spinal canal pathology may increase the risk of new or worsening neurologic symptoms. This increased evidence reinforces our initial recommendations. In addition, since the initial recommendations in 2008, the concept of postsurgical inflammatory neuropathy has been described and is potentially a contributor to postoperative neurologic dysfunction.

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Section: Central Nervous System Disordersmentioning

confidence: 99%

Regional Anesthesia in Patients With Preexisting Neurologic Disease

Kopp

Jacob

Hebl

2015

Regional Anesthesia and Pain Medicine

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“…Aufgrund von Fallberichten über Exazerbationen neurologischer Symptome ist Vorsicht mit der Spinalanästhesie geboten. Insbesondere sollte hyperbares Lidocain hierbei vermieden werden, und auch die spinale Single-shot-Technik ist zumindest umstritten [4,13,18,28].…”

Section: Verlauf Von Schwangerschaft Und Geburt Bei Msbetroffenen Patunclassified

„Andere Umstände“: Schwangerschaft und immunmodulatorische Therapie bei Multipler Sklerose

et al. 2006

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Pregnancy and family planning issues are prominent concerns in the medical care of multiple sclerosis patients, since the disease onset often coincides with a period of life that is decisive in this regard. Multiple sclerosis is a chronic disorder with an unpredictable course and is widely treated with long-term immunomodulatory agents, raising questions regarding the complications and effects of these therapies on pregnancy. This paper gives an overview of the relevant literature and provides a basis for individual counselling of this group of multiple sclerosis patients.

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“…However, postoperative exacerbations of MS have been attributed to spinal anesthesia [17]. Epidural anesthesia and regional nerve blocks appear to be safe [18][19][20]. It is likely that spinal anesthesia exposes the unprotected nerve root to a higher concentration of local anesthetic, causing a local neurotoxicity.…”

Section: Multiple Sclerosismentioning

confidence: 99%

Anesthetic implications of neuromuscular disease

Briggs

Kirsch

2003

Journal of Anesthesia

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Neuromuscular disease covers a wide range of conditions, with anesthesia management being required either for problems relevant to the disorder or for comorbid conditions. The diseases often have specific problems that can usually be predicted from their pathophysiology. The anesthesiologist must ensure a thorough preoperative assessment, appropriate choice of anesthetic technique and neuromuscular blocking drugs, and careful monitoring of both hemodynamic parameters and the degree of neuromuscular blockade. With these considerations, the patient with neuromuscular disease, although challenging, can be given anesthetic care in a safe fashion.

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Epidural Analgesia for Patients with Chronic Neurological Disease

Cited by 28 publications

References 0 publications

Regional Anesthesia in Patients With Preexisting Neurologic Disease

Regional Anesthesia in Patients With Preexisting Neurologic Disease

„Andere Umstände“: Schwangerschaft und immunmodulatorische Therapie bei Multipler Sklerose

Anesthetic implications of neuromuscular disease

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