Epidural hematoma after thoracic epidural catheter removal in the absence of risk factors

Sidiropoulou, Tatiana; Pompeo, Eugenio; Bozzao, Alessandro; Lunardi, Pierpaolo; Dauri, Mario

doi:10.1016/s1098-7339(03)00388-2

Cited by 9 publications

(1 citation statement)

References 10 publications

(8 reference statements)

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“…Approximately 50% of EHs are associated with catheter removal. [7–9] As many as 13% of cases with EH are reportedly seen in patients without any preoperative risk factors. [8]…”

Section: Discussionmentioning

confidence: 99%

Epidural haematoma: Rare complication after spinal while intending epidural anaesthesia with long-term follow-up after conservative treatment

et al. 2011

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Epidural anaesthesia (EA) is an extensively used procedure for many surgeries. Increase incidence of bleeding in the epidural space [epidural haematoma (EH)] is reportedly more common in patients with altered coagulation and patients on anticoagulation treatment. EH secondary to spinal while intending EA for caesarean section (C-section) in a healthy individual leading to transient or persistent neurological problems is very rare. We report a case of EH after spinal while intending EA for C-section in a healthy young female along with 5-yrs follow-up after conservative treatment.

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“…Approximately 50% of EHs are associated with catheter removal. [7–9] As many as 13% of cases with EH are reportedly seen in patients without any preoperative risk factors. [8]…”

Section: Discussionmentioning

confidence: 99%

Epidural haematoma: Rare complication after spinal while intending epidural anaesthesia with long-term follow-up after conservative treatment

et al. 2011

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Epidural anesthesia in awake thoracic surgery

Mineo

2007

European Journal of Cardio-Thoracic Surgery

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Despite the indisputable and well-known advantages of general anesthesia in thoracic surgery, this can trigger some adverse effects including an increased risk of pneumonia, impaired cardiac performance, neuromuscular problems, mechanical ventilation-induced injuries, which include barotrauma, volotrauma, atelectrauma, and biotrauma. In order to reduce the adverse effects of general anesthesia, thoracic epidural anesthesia has been recently employed to perform awake thoracic surgery procedures including coronary artery bypass, management of pneumothorax, resection of pulmonary nodules and solitary metastases, lung volume reduction surgery, and even transsternal thymectomy. The results achieved in this early series have been encouraging, although indications and many pathophysiologic aspects remain to be elucidated. In this review we have tried to provide a first-step analysis of the anecdotal reports available in the literature on this topic. We also desired to provide insights into the main physiologic effects of awake thoracic surgery with epidural anesthesia, with particular attention to the several issues raised by its application in patients with chronic obstructive pulmonary disease, which can represent one of the most stimulating challenges in this setting.

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Cancer patients pose a risk for hematoma formation after neuraxial blocks per se

Gombar

Deva

Gombar

2004

Regional Anesthesia and Pain Medicine

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Epidural hematoma after thoracic epidural catheter removal in the absence of risk factors

Abstract: Catheter removal is a critical period for epidural hematoma formation even if no risk factors are identified. Early recognition and treatment are essential features for good neurologic recovery after an epidural hematoma.

Cited by 9 publications

References 10 publications

Epidural haematoma: Rare complication after spinal while intending epidural anaesthesia with long-term follow-up after conservative treatment

Epidural haematoma: Rare complication after spinal while intending epidural anaesthesia with long-term follow-up after conservative treatment

Epidural anesthesia in awake thoracic surgery

Cancer patients pose a risk for hematoma formation after neuraxial blocks per se

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