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ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine
  1. Joseph M. Neal, M.D.a,b,
  2. Christopher M. Bernards, M.D.a,b,
  3. Admir Hadzic, M.D.c,
  4. James R. Hebl, M.D.d,
  5. Quinn H. Hogan, M.D.e,
  6. Terese T. Horlocker, M.D.d,
  7. Lorri A. Lee, M.D.b,
  8. James P. Rathmell, M.D.f,
  9. Eric J. Sorenson, M.D.h,
  10. Santhanam Suresh, M.D.g and
  11. Denise J. Wedel, M.D.d
  1. aDepartment of Anesthesiology, Virginia Mason Medical Center, Seattle, WA
  2. bDepartment of Anesthesiology, University of Washington, Seattle, WA
  3. cDepartment of Anesthesiology, St. Luke's–Roosevelt Hospital Center, New York, NY
  4. dDepartment of Anesthesiology, Mayo Clinic. Rochester, MN
  5. hDepartment of Neurology, Mayo Clinic. Rochester, MN
  6. eDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI
  7. fDepartment of Anesthesiology, Massachusetts General Hospital, Harvard University, Boston, MA
  8. gDepartment of Anesthesiology, Childrens' Memorial Hospital, Northwestern University, Chicago, IL


Neurologic complications associated with regional anesthesia and pain medicine practice are extremely rare. The ASRA Practice Advisory on Neurologic Complications in Regional Anesthesia and Pain Medicine addresses the etiology, differential diagnosis, prevention, and treatment of these complications. This Advisory does not focus on hemorrhagic and infectious complications, because they have been addressed by other recent ASRA Practice Advisories. The current Practice Advisory offers recommendations to aid in the understanding and potential limitation of neurologic complications that may arise during the practice of regional anesthesia and pain medicine.

  • Complications of anesthesia
  • Nerve injury
  • Spinal anesthesia
  • Epidural anesthesia
  • Peripheral nerve block
  • Regional anesthesia
  • Pain medicine
  • Transforaminal block

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  • No funds were received for this work. Honorio T. Benzon, M.D. served as Acting Editor-in-Chief for this report.

  • No reprints will be available.