• Der Anaesthesist · Mar 2013

    Review

    [Regional anesthesia in patients with pre-existing infections or immunosuppression].

    • F List, P Kessler, and T Volk.
    • Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Gebäude 57, 66421, Homburg, Deutschland. Franka.list@uks.eu
    • Anaesthesist. 2013 Mar 1; 62 (3): 175-82.

    AbstractRegional anesthesia is the most effective procedure for acute pain therapy. Whether neuraxial and peripheral blocks in patients with pre-existing infectious conditions, immune deficits or other risk factors increase the risk of additional infections is unclear. Analyzing the available literature currently seems to indicate that the incidence of severe infectious complications is generally low. Diabetes, steroid therapy or malignant diseases are apparently present in many cases in which infections associated with regional anesthesia and analgesia have been described. A strict contraindication in patients with pre-existing systemic or local infections seems unjustifiable. A clear and documented risk-benefit ratio in these patients is mandatory.

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