Haematoma Following Epidural Anaesthesia

Spinal Epidural Hematoma After Removal of an Epidural Catheter

“…They are very fragile, and a small injury or high intracavity pressure caused by Valsalva maneuver or conditions such as pregnancy can lead to rupture and hematoma. 8 Another hypothesis concerns the free arteries that run along the roots accompanied by the venous plexus: If a rupture of these free arteries occurs owing to injury or intracavity pressure, a loss of sensitivity and motor power follows some hours later to complete the transversal syndrome. 45 We investigated the onset of spinal epidural hematoma.…”

Anaesthetic Management of the Parturient with Protein S Deficiency and Lumboperitoneal Shunt

“…There are potential dangers of bleeding during regional anaesthesia in the anticoagulated patient. During therapeutic anticoagulation, spinal anaesthesia appears to be a real risk for the development of intraspinal haemorrhage [9][10][11] . Central neuraxial techniques should be withheld in patients treated with therapeutic doses of heparin 12 .…”

Postdural Puncture Headache and the Development of the Epidural Blood Patch

“…It had long been appreciated that an epidural hematoma after spinal or epidural anesthesia represented a dire circumstance, and it was only natural to question a procedure that essentially replicated an epidural hematoma. 171 Prac-titioners were also keenly aware of the fact that neurologic complications tend to respond poorly to treatment and must therefore be prevented at all costs. Studies to address these concerns have shown that, although epidural pressure increases do occur with the blood patch, they appear to be temporary and not to a degree that might prove harmful.…”