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Complications of regional anaesthesia 

Complications of regional anaesthesia
Complications of regional anaesthesia

Paul Clyburn

and Rafal Baraz

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date: 13 July 2020

A high regional block is more common than a total spinal, but it should be carefully observed as it may progress to a total spinal

Total spinal is an emergency that requires immediate recognition and management (ABCD approach)

Hypotension after spinal anaesthesia is common and should be treated by minimizing aorto-caval compression and vasopressors

Prevention of local anaesthetic toxicity is easier than treatment

Post dural puncture headache is common, it is typically postural in nature but should be differentiated from less common, more sinister causes of headache

Epidural haematoma and abscess are uncommon but potentially very serious complications in which early recognition is important.

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