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Effects of Epinephrine in the Epidural Space on the Incidence of Blood Vessel Injury by Epidural Catheter Insertion for Cesarean Section: A Prospective, Randomized, Double-Blind Study

Han, C.; Zhou, Q.; Ding, Z.; Qian, Y.

Obstetric Anesthesia Digest: March 2016 - Volume 36 - Issue 1 - p 51
doi: 10.1097/01.aoa.0000479532.28566.ce
Anesthesia and Analgesia: Regional Anesthesia

(J Clin Anesthesia. 2015;27:7–11)

Unintentional epidural venous injuries can result in a number of adverse patient outcomes, including local anesthetic-induced cardiotoxicity or neurotoxicity, poor block, and an increased risk for epidural hematoma. The epidural venous plexus may be injured, or an intravascular (IV) epidural catheter insertion can occur, in up to 15.7% of obstetric patients; strategies to prevent blood vessel injuries are therefore important.

Department of Anesthesiology, First Affiliated Hospital, Nanjing Medical University, Nanjing, China

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