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Regional anesthesia · Jul 1996
Case ReportsEpidural hematoma after epidural anesthesia in a patient with peripheral vascular disease. Case report.
- G Martínez-Pallí, X Sala-Blanch, E Salvadó, M Acosta, and M A Nalda.
- Department of Anesthesiology, Reanimation, and Pain Therapy, Hospital Clínic i Provincial de Barcelona, Spain.
- Reg Anesth. 1996 Jul 1;21(4):342-6.
Background And ObjectivesEpidural hematoma is a severe, uncommon complication associated with epidural anesthesia in patients with peripheral vascular disease who require anticoagulant therapy.MethodsAn 84-year-old woman with acute left leg arterial ischemia underwent revascularization surgery under lumbar epidural anesthesia. Pre- and postoperative heparin was administered as an anticoagulant.ResultsReperfusion of the leg was successful, however, 3 days later clinical signs of spinal cord compression appeared and epidural hematoma was diagnosed. Neurologic recovery was poor.ConclusionsThis case highlights the need for careful individual preoperative analysis and postoperative observation to make anesthetic practice safe in patients receiving perioperative anticoagulant therapy.
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