You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Regional anesthesia in patients with pre-existing neurologic disease

McSwain, Julie R.; Doty, J. Wesley; Wilson, Sylvia H.

Current Opinion in Anaesthesiology:
doi: 10.1097/ACO.0000000000000107
REGIONAL ANESTHESIA: Edited by Jacques E. Chelly
Abstract

Purpose of review: Regional anesthesia is controversial in patients with pre-existing neurologic disease. This study reviews the published evidence regarding the utilization and outcomes of regional anesthetics in this population.

Recent findings: Although publications are sparse, neuraxial and peripheral regional techniques have been successfully described in patients with spinal cord injury, multiple sclerosis, Guillain–Barre disease, neurofibromatosis, diseases of the neuromuscular junction, and Charcot–Marie Tooth disease without neurologic complications. Ultrasound guidance may aid in reduction in local anesthetic dose, anatomical evaluation and avoidance of needle trauma.

Summary: Regional anesthesia can be safely utilized in patients with pre-existing neurological disease and may have benefits over general anesthesia; however, a conservative approach is warranted. In addition, further publications regarding regional techniques in this population are needed.

Author Information

Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA

Correspondence to Sylvia H. Wilson, MD, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, 167 Ashley Avenue, Suite 301, MSC 912, Charleston, South Carolina, USA. Tel: +1 843 792 2322; fax: +1 843 792 2726; e-mail: wilsosh@musc.edu

© 2014 Lippincott Williams & Wilkins, Inc.