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Letter Practice Guideline
Safety guideline: neurological monitoring associated with obstetric neuraxial block 2020: A joint guideline by the Association of Anaesthetists and the Obstetric Anaesthetists' Association.
- S M Yentis, D N Lucas, L Brigante, R Collis, P Cowley, S Denning, W J Fawcett, and A Gibson.
- Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
- Anaesthesia. 2020 Jul 1; 75 (7): 913-919.
AbstractSerious neurological lesions such as vertebral canal haematoma are rare after obstetric regional analgesia/anaesthesia, but early detection may be crucial to avoid permanent damage. This may be hampered by the variable and sometimes prolonged recovery following 'normal' neuraxial block, such that an underlying lesion may easily be missed. These guidelines make recommendations for the monitoring of recovery from obstetric neuraxial block, and escalation should recovery be delayed or new symptoms develop, with the aim of preventing serious neurological morbidity.© 2020 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of Association of Anaesthetists.
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