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Risk Factors for and Prediction of a Difficult Neuraxial Block: A Cohort Study of 73,579 Patients from the Danish Anaesthesia Database

Stendell, L.; Lundstrøm, L.H.; Wetterslev, J.; Itenov, T.S.; Rosenstock, C.V.

doi: 10.1097/01.aoa.0000489462.76661.56
Mechanisms, Equipment, Hazards

(Reg Anesth Pain Med. 2015;40(5):545–552)

Administering epidural, spinal, or combined epidural-spinal anesthesia can be challenging due to a variety of anatomical, technical, and pharmacological factors. As a difficult neuraxial block can result in complications, it is important that anesthesiologists be able to anticipate such an occurrence and take the necessary steps to resolve the situation. The purpose of this study was to determine how common difficult neuraxial blocks are and investigate the potential factors that might contribute to them. The investigators also sought to determine the efficacy of an accumulated risk score used to predict a difficult neuraxial block.

Department of Anaesthesiology and Intensive Care, Nordsjællands Hospital, Hillerød and Copenhagen Trial Unit, Centre for Clinical Intervention Research, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark

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