Abstract

DOMINGOS DIAS, Cicarelli; FRERICHS, Elke  and  MARTINS BENSENOR, Fábio Ely. Incidence of neurological complications and post-dural puncture headache after regional anesthesia in obstetric practice: A retrospective study of 2399 patients. Rev. colomb. anestesiol. [online]. 2014, vol.42, n.1, pp.28-32. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2013.09.009.

Introduction and objectives: Regional anesthesia provides excellent anesthesia and analgesia in obstetric patients, but has potential for complications such as post-dural puncture headache and permanent or transient nerve damage. This study aimed to describe the incidence of post-dural puncture headache and nerve damage in the obstetric population of auniversity hospital that was submitted to neuraxial blockades, comparing with the world literature, and identify risk factors. Materials and methods: A retrospective cohort was performed including data collected in the records of post-anesthetic consults conducted during the year 2010. The main analysis was performed on the complaints of peripheral neurological deficits and headaches reported by patients, type of anesthesia and performed surgical procedures. A multiple regression analysis was performed to investigate the association between the onset of lower limb paresthesias and the length of stay of these patients in the gynecological position and other variables. Results: A total of 2399 pregnant patients who had undergone neuraxial blockade were eva-luated. Neurologic complications that occurred in these patients were divided into lower limb paresthesias (0.3%), transient radicular irritation (0.1%), and post-dural puncture headache (3%). The patients who stayed more than 60 min in gynecological position showed an odds ratio of evolution with lower limb paresthesias of 1.75 and patients who stayed more than 120 min showed an odds ratio of 2.1, but without statistical significance. Conclusions: Patients submitted to neuraxial blockades and placed in gynecological position were more likely to evolve with lower limb paresthesias related to duration of this position.

Keywords : Anesthesia; Obstetrical Anesthesia; Conduction Analgesia; Anesthesia; Epidural; Nerve Block.

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