Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review
The use of neuraxial procedures, such as spinal and epidural anaesthesia, has been linked to some possible complications. In addition, spinal cord injuries due to anaesthetic practice (Anaes-SCI) are rare events but remain a significant concern for many patients undergoing surgery. This systematic r...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | International Journal of Molecular Sciences |
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| Online Access: | https://www.mdpi.com/1422-0067/24/5/4665 |
| _version_ | 1797615190797189120 |
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| author | Daniel H. Pozza Isaura Tavares Célia Duarte Cruz Sara Fonseca |
| author_facet | Daniel H. Pozza Isaura Tavares Célia Duarte Cruz Sara Fonseca |
| author_sort | Daniel H. Pozza |
| collection | DOAJ |
| description | The use of neuraxial procedures, such as spinal and epidural anaesthesia, has been linked to some possible complications. In addition, spinal cord injuries due to anaesthetic practice (Anaes-SCI) are rare events but remain a significant concern for many patients undergoing surgery. This systematic review aimed to identify high-risk patients summarise the causes, consequences, and management/recommendations of SCI due to neuraxial techniques in anaesthesia. A comprehensive search of the literature was conducted in accordance with Cochrane recommendations, and inclusion criteria were applied to identify relevant studies. From the 384 studies initially screened, 31 were critically appraised, and the data were extracted and analysed. The results of this review suggest that the main risk factors reported were extremes of age, obesity, and diabetes. Anaes-SCI was reported as a consequence of hematoma, trauma, abscess, ischemia, and infarction, among others. As a result, mainly motor deficits, sensory loss, and pain were reported. Many authors reported delayed treatments to resolve Anaes-SCI. Despite the potential complications, neuraxial techniques are still one of the best options for opioid-sparing pain prevention and management, reducing patients’ morbidity, improving outcomes, reducing the length of hospital stay, and pain chronification, with a consequent economic benefit. The main findings of this review highlight the importance of careful patient management and close monitoring during neuraxial anaesthesia procedures to minimise the risk of spinal cord injury and complications. |
| first_indexed | 2024-03-11T07:22:52Z |
| format | Article |
| id | doaj.art-b3c6374633474072997782775720ddd2 |
| institution | Directory Open Access Journal |
| issn | 1661-6596 1422-0067 |
| language | English |
| last_indexed | 2024-03-11T07:22:52Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | International Journal of Molecular Sciences |
| spelling | doaj.art-b3c6374633474072997782775720ddd22023-11-17T07:51:40ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-02-01245466510.3390/ijms24054665Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic ReviewDaniel H. Pozza0Isaura Tavares1Célia Duarte Cruz2Sara Fonseca3Experimental Biology Unit, Department of Biomedicine, Faculty of Medicine of Porto, University of Porto, 4200-319 Porto, PortugalExperimental Biology Unit, Department of Biomedicine, Faculty of Medicine of Porto, University of Porto, 4200-319 Porto, PortugalExperimental Biology Unit, Department of Biomedicine, Faculty of Medicine of Porto, University of Porto, 4200-319 Porto, PortugalAnaesthesiology Department, São João University Hospital Centre, 4200-135 Porto, PortugalThe use of neuraxial procedures, such as spinal and epidural anaesthesia, has been linked to some possible complications. In addition, spinal cord injuries due to anaesthetic practice (Anaes-SCI) are rare events but remain a significant concern for many patients undergoing surgery. This systematic review aimed to identify high-risk patients summarise the causes, consequences, and management/recommendations of SCI due to neuraxial techniques in anaesthesia. A comprehensive search of the literature was conducted in accordance with Cochrane recommendations, and inclusion criteria were applied to identify relevant studies. From the 384 studies initially screened, 31 were critically appraised, and the data were extracted and analysed. The results of this review suggest that the main risk factors reported were extremes of age, obesity, and diabetes. Anaes-SCI was reported as a consequence of hematoma, trauma, abscess, ischemia, and infarction, among others. As a result, mainly motor deficits, sensory loss, and pain were reported. Many authors reported delayed treatments to resolve Anaes-SCI. Despite the potential complications, neuraxial techniques are still one of the best options for opioid-sparing pain prevention and management, reducing patients’ morbidity, improving outcomes, reducing the length of hospital stay, and pain chronification, with a consequent economic benefit. The main findings of this review highlight the importance of careful patient management and close monitoring during neuraxial anaesthesia procedures to minimise the risk of spinal cord injury and complications.https://www.mdpi.com/1422-0067/24/5/4665spinal cord injuryspinal anaesthesiaepidural anaesthesiaanaesthesiaanalgesiaparaplegia |
| spellingShingle | Daniel H. Pozza Isaura Tavares Célia Duarte Cruz Sara Fonseca Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review International Journal of Molecular Sciences spinal cord injury spinal anaesthesia epidural anaesthesia anaesthesia analgesia paraplegia |
| title | Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review |
| title_full | Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review |
| title_fullStr | Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review |
| title_full_unstemmed | Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review |
| title_short | Spinal Cord Injury and Complications Related to Neuraxial Anaesthesia Procedures: A Systematic Review |
| title_sort | spinal cord injury and complications related to neuraxial anaesthesia procedures a systematic review |
| topic | spinal cord injury spinal anaesthesia epidural anaesthesia anaesthesia analgesia paraplegia |
| url | https://www.mdpi.com/1422-0067/24/5/4665 |
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